This is an ongoing known nomenclature crisis in the clinical world.

"What is the difference between a Biomedical Engineer and a BMET" is an actual meme over at r/BMET. We don't know. We don't care. Most hospitals don't have BME as a job. The ones that do, are simply BMET managers, which is still not engineering.

I like the newer term "HTM" because we are the industry concerned with the clinical application and lifecycle management of medical devices. Whether that means my name tag says engineer or technician is irrelevant.

In practical usage, having now worked at two hospitals and attended trade shows and interacting with other BMETs online, we reserve "Biomedical Engineer" to mean R&D. Everyone else is some level of BMET.