Neuromonitoring Specialist

Yale New Haven Health•New Haven, CT

About The Position

The Neuro Telemetry Technician is a bachelor’s-prepared neurophysiology professional who provides continuous and retrospective surveillance and structured annotation of neurophysiologic data supporting clinical operations, quality initiatives, education, and approved research. The position works under the direction of credentialed neurophysiology personnel and designated clinical or research leadership. It requires foundational EEG knowledge and prior EEG experience, including understanding electrode placement, basic montages, recording integrity, common artifacts, and foundational waveform and pattern-recognition concepts. After completing required training and documented competency validation, the employee may perform defined technical procedures, including patient preparation, routine electrode application, equipment setup, impedance and data-quality checks, troubleshooting, and patient disconnects. This is a specialized pre-registry position distinct from the Neurophysiology Technologist I trainee role. The position does not independently interpret EEG findings or render diagnostic conclusions. The employee is expected to make satisfactory progress toward ABRET EEG board certification (REEGT) and obtain an accepted EEG neurodiagnostic credential within the specified period.

Requirements

  • 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.
  • At least 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.
  • Basic Life Support certification.
  • 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.
  • 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 consistently follow standardized annotation taxonomies, research protocols, data dictionaries, technical procedures, and escalation pathways.
  • Proficiency with neurodiagnostic acquisition and review platforms, electronic health records, secure research systems, and standard data-management applications.
  • Clear written and verbal communication and 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 requiring 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.
  • Complete and maintain required institutional compliance, patient-privacy, human-subject protection, and study-specific research training when assigned to research activities.

Nice To Haves

  • Formal coursework in neuroscience, neuroanatomy, neurophysiology, electrophysiology, research methods, statistics, or data science.
  • Completion of, or enrollment in, a recognized neurodiagnostic technology or 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.
  • 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.

Responsibilities

  • Provide continuous surveillance of assigned neurophysiologic recordings and associated video, audio, and physiologic data according to established coverage, communication, and escalation protocols.
  • Enter accurate, time-synchronized annotations of predefined patient-reported symptoms, observable behaviors, clinical interventions, visible or communicated medication-related events, testing procedures, environmental events, technical changes, and potential neurophysiologic changes requiring review.
  • Promptly escalate suspected clinical events, concerning or evolving patterns, patient-safety concerns, technical failures, and recording-quality deterioration to the appropriate technologist, nurse, neuroanalyst, investigator, or provider.
  • Conduct retrospective review and protocol-directed annotation of neurophysiologic recordings for approved research, quality-improvement, education, and operational initiatives.
  • Apply standardized annotation conventions, event definitions, data dictionaries, and protocol-specific criteria; support inter-rater reliability review, data validation, quality audits, and reconciliation of discrepant annotations.
  • After required training and documented competency validation, perform defined technical procedures such as patient preparation, routine electrode application, equipment setup, impedance assessment, recording-quality checks, basic troubleshooting, and patient disconnects.
  • Support neurophysiology research, including EEG and eye-tracking protocols.
  • Use foundational knowledge of EEG montages, waveform characteristics, artifacts, and basic pattern-recognition principles to support surveillance, annotation, recording integrity, and timely escalation.
  • Support approved clinical research protocols through accurate documentation, protocol adherence, screening or annotation logs, data-quality checks, and protection of participant privacy and research confidentiality.
  • Maintain complete, accurate, and timely operational and research documentation in approved clinical, departmental, and research systems.
  • Collaborate with neurophysiology technologists, neurophysiologists/neuroanalysts, nurses, physicians, investigators, research personnel, information technology teams, and other operational partners.
  • Participate in onboarding, continuing education, competency assessment, quality review, research training, and professional development; maintain satisfactory progress toward ABRET EEG board certification (REEGT).
  • Maintain equipment, supplies, and work areas in accordance with infection-prevention, electrical-safety, departmental, manufacturer, and regulatory standards.
  • Perform other duties consistent with education, training, demonstrated competencies, and the defined scope of the position.
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