Responsible for identifying critical resources for clients, helping them navigate through health care services and systems, and promoting client health.

Principal Accountabilities:

confirm insurance authorization, intake for referrals

• notify doctor of any denials/appeals process

• contact patient and schedule

• patient admissions and attending EMU call should be matched per their established clinic provider, if possible (APP patients and outside referrals can go to any epileptologist)

• ensure availability of doctors, rooms, techs for scheduled EMU daysneeds to be balanced with other outpatient EEG study needs

• Notify EMU (nurse manager, nurse educator, charge nurse, etc) of any special accommodations

• any outside referrals or patients with poor history should be scheduled for pre-EMU clinic intake visit (APP clinic, 1 hour visit), if possible

• follow-up with patient to confirm (2 weeks, 2 days prior to admit date)

• collect any additional notes/history/study results missing from referral info - (mainly from outside referrals)

• send out calendar notifications to neurodiagnostics team

• for phase II EMU admissions, must confirm with Neurosurgery team & OR coordinator - send reminders before admission day

• ensure completion of EMU reports with the epileptologist

• send completed EMU reports to the referring provider (if outside referral)

• check which patients need post-EMU clinic follow-up and additional studie

• send email to Clinic Navigator - for our psychogenic/non-epileptic patients

• maintain log of EMU patients who are surgical candidates and their study results

Clinic Responsibilities:

• Mon – Fri, 9 half day clinics per week + 1 half-day administrative time

• include remote clinic site?

• will see both new and follow up epilepsy patients, as triaged to the APP clinic

• all patients (esp. during initial training period) to be supervised by epilepsy attending

• sees VNS patients for post-op titration

• sees new EMU referrals that have established outside neurologist, just need pre-EMU admit history intake

Monday EMU admissions (epilepsy service is admitting primary for phase I patients)

• round on EMU patients daily in the mornings

• report back to EMU attending on events. patient condition/concerns, questions etc.

• check labs, adjust orders as needed

• write daily progress notes

• close communication with EMU nursing staff & EEG techs

• first call for any EMU patient issues during the day, until 5 pm.

• call EMU attending for any seizures for action plan

• patient discharges (typically Friday mornings)

• discharge orders, including any prescriptions

• discharge summary

• communicate with EMU coordinator & Clinic Navigator about follow up plans

Hospital Consults

First call for consult requests

• Collect initial pertinent history and chart review

• Report back to epilepsy attending for direction

• See patient and start consult note

• Follow up with epilepsy attending for action plan

EMU Coordinator

• Review EMU referrals

• call/meet with any clinic patients referred, for informational session

• ensure insurance approvals/prior authorizations

• schedule patients and manage EMU calendar

• coordinate with NEREG EMU schedule

• coordinate with Neurosurgery team for phase II schedule and OR calendar

• keep track of EMU attending & PA call

• follow up with scheduled patients to ensure proper preparation and admission reminders

• communicate with Neurosurgery coordinator/scheduler

• any phase II plans

• Wada schedule, including epilepsy attending & neuropsychologist call

• schedule for VNS/RNS/DBS placements

• notify epilepsy attending of OR dates (RNS, DBS)

• communicate with Clinic Navigator for patient follow up to be scheduled in epilepsy clinic

• add to RNS/VNS/DBS clinic patient pools

• schedule any new VNS patient with APP titration clinic

• coordinate any patient guardian or transportation issues for EMU

• communicate with hospital bed management for scheduled admissions

• communicate with EMU nursing team

• any admission/discharge issues

• any concerns/questions to forward to the epilepsy attending

• coordinate EMU nurse & MA seizure response/safety training sessions

• (communicate with Dr. Yum)

• keep EMU patient log

• coordinate Epilepsy Conferences

• keep conference patient log

Required:

1. High School Diploma or equivalent.

Preferred:

2. BCPA Certification.

3. Experience and knowledge of all aspects of the healthcare system.