Neuromonitoring Specialist

• 1. Provides continuous surveillance of assigned neurophysiologic recordings and associated video, audio, and physiologic data in accordance with established coverage, communication, and escalation protocols.
• 2. Enters accurate, time-synchronized annotations of predefined events, including patient-reported symptoms, observable behaviors, clinical interventions, medication-related events when visible or communicated, testing procedures, environmental events, technical changes, and potential neurophysiologic changes requiring review.
• 3. Promptly escalates suspected clinical events, concerning or evolving patterns, patient-safety concerns, technical failures, and deterioration in recording quality to the appropriate technologist, nurse, neuroanalyst, investigator, or provider.
• 4. Conducts retrospective review and protocol-directed annotation of neurophysiologic recordings for approved research, quality-improvement, education, and operational initiatives.
• 5. Applies standardized annotation conventions, event definitions, data dictionaries, and protocol-specific criteria consistently and supports inter-rater reliability review, data validation, quality audits, and reconciliation of discrepant annotations.
• 6. Performs defined technical procedures, including patient preparation, routine electrode application, equipment setup, impedance assessment, recording-quality checks, basic troubleshooting, and patient disconnects, only after completion of required training and documented competency validation.
• 7. Support neurophysiology research including EEG and eye-tracking protocols.
• 8. Uses foundational knowledge of EEG montages, waveform characteristics, artifacts, and basic pattern-recognition principles to support accurate surveillance, annotation, recording integrity, and timely escalation.
• 9. Supports approved clinical research protocols through accurate documentation, protocol adherence, completion of screening or annotation logs, data-quality checks, and protection of participant privacy and research confidentiality.
• 10. Maintains complete, accurate, and timely operational and research documentation in approved clinical, departmental, and research systems.
• 11. Collaborates with neurophysiology technologists, neurophysiologists/neuroanalysts, nurses, physicians, investigators, research personnel, information technology teams, and other operational partners to support reliable clinical and research workflows.
• 12. Participates in onboarding, continuing education, competency assessment, quality review, research training, and professional development and maintains satisfactory progress toward the ABRET EEG board certification (REEGT).
• 13. Maintains equipment, supplies, and work areas in accordance with infection-prevention, electrical-safety, departmental, manufacturer, and regulatory standards.
• 14. Performs other duties consistent with the employee's education, training, demonstrated competencies, and the defined scope of the position.

EDUCATION

Required Education: Bachelor's degree from an accredited institution in neuroscience, biology, physiology, psychology, cognitive science, biomedical sciences, health sciences, or another related scientific or clinical discipline.
Preferred Education:
- Formal coursework in neuroscience, neuroanatomy, neurophysiology, electrophysiology, research methods, statistics, or data science.
- Completion of, or enrollment in, a recognized neurodiagnostic technology/clinical neurophysiology education program.
- Academic or applied research experience involving human participants, physiologic signals, clinical data, or time-series data.
- Good Clinical Practice (GCP) and Human Subject Protection (HSP) certification; HIPAA training.

EXPERIENCE

Required Experience: A minimum of six months of EEG experience in a clinical, educational, research, or closely related neurophysiology environment.
- Demonstrated exposure to EEG acquisition or review systems, electrode placement, basic montages, waveform display, common artifacts, recording-quality assessment, and event documentation.
Preferred Experience:
- Twelve months or more of EEG, epilepsy monitoring, neurotelemetry, continuous EEG, or neurophysiologic data-review experience.
- Experience in an epilepsy monitoring unit, inpatient neurodiagnostic service, continuous monitoring program, or clinical research environment.
- Experience reviewing and annotating synchronized EEG, video, audio, behavioral, or other physiologic data.

LICENSURE

- No professional neurodiagnostic registry is required at the time of hire.
- Basic Life Support certification is required.
- Completion and maintenance of all required institutional compliance, patient-privacy, human-subject protection, and study-specific research training when assigned to research activities.
- The employee is expected to obtain an accepted neurodiagnostic credential in EEG within 24 months of hire or within 24 months of becoming eligible to sit for the applicable examination, whichever is later.

SPECIAL SKILLS

- Foundational knowledge of neuroanatomy, neurophysiology, EEG terminology, electrode-placement principles, EEG montages, polarity, frequency, amplitude, and common biologic and technical artifacts.
- Ability to recognize and document predefined clinical, behavioral, technical, environmental, and potential neurophysiologic events without independently rendering a diagnostic interpretation.
- Ability to distinguish potential physiologic activity from common artifact and routine variation sufficiently to annotate and escalate observations according to protocol.
- Ability to monitor synchronized EEG, video, audio, and other physiologic signals and enter precise, time-synchronized annotations.
- Ability to conduct protocol-directed retrospective review and annotation of neurophysiologic recordings.
- Strong attention to detail and ability to maintain sustained vigilance during continuous monitoring and data-review assignments.
- Ability to follow standardized annotation taxonomies, research protocols, data dictionaries, technical procedures, and escalation pathways consistently.
- Proficiency with neurodiagnostic acquisition and review platforms, electronic health records, secure research systems, and standard data-management applications.
- Clear written and verbal communication and the ability to convey time-sensitive observations to clinical and research team members.
- Understanding of patient privacy, human-subject protections, research confidentiality, and appropriate handling of protected, coded, or limited datasets.
- Ability to work independently within defined protocols while recognizing circumstances that require escalation or review by appropriately credentialed or licensed personnel.
- Ability to function effectively in a 24/7 clinical and research support environment, including assigned evenings, nights, weekends, and holidays, as operationally required.