Board Certified Behavioral Analyst (BCBA)

About the Role

The Clinical Lead provides clinical oversight, mentorship, and support to a team of BCBAs while maintaining a reduced caseload. This role serves as the first level of clinical leadership, ensuring high-quality service delivery, timely documentation, and effective problem-solving across assigned cases.

Billable requirement: 20 billable hours per week.

Responsibilities

• Clinical Oversight & Quality Assurance
  • Review and approve all treatment plans, reassessments, and clinical documentation prior to submission for:
    • Clinical accuracy
    • Medical necessity
    • Clear skill acquisition and behavior reduction programming
    • Alignment with assessment data and client needs
  • Ensure all programs in CentralReach (CR):
    • Have clear, measurable targets
    • Include appropriate prompting, reinforcement, and generalization strategies
    • Are individualized and not templated
  • Provide specific, actionable feedback on reports within expected turnaround times.
  • Require and verify completion of revisions prior to approval.
  • Identify patterns of weak clinical writing or programming and address directly with BCBA.
• BCBA Supervision & Support
  • Serve as the direct clinical support for an assigned group of BCBAs.
  • Maintain consistent availability during business hours for clinical questions.
  • Conduct structured check-ins (weekly or biweekly) that include:
    • Caseload review
    • Clinical barriers
    • High-risk clients
    • Parent concerns
    • Staff performance issues
  • Maintain an active group communication channel (Teams/chat) to:
    • Provide real-time guidance
    • Share updates and expectations
    • Address team-wide questions
  • Provide direct guidance and coaching on:
    • Complex or high-risk cases (aggression, elopement, regression, etc.)
    • Behavior intervention strategies and modifications
    • Parent communication and difficult conversations
    • BT performance concerns impacting clinical care
  • Support BCBAs in clinical decision-making while ensuring alignment with company standards.
• Compliance & Timeliness Oversight
  • Actively monitor and track for assigned BCBAs:
    • Reassessment due dates and completion status
    • Treatment plan submission timelines
    • Monthly fidelity checks completion
    • Monthly BT check-ins completion
    • Case Opening Review completion for new clients
    • First supervision session completion for new BTs/clients
    • Parent training frequency and completion
  • Ensure all required components are completed within expected timeframes.
  • Follow up directly with BCBAs on missing or overdue items with clear deadlines.
  • Hold BCBAs accountable for repeated noncompliance.
  • Identify trends (e.g., chronic lateness, missed requirements) and:
    • Address directly with the BCBA
    • Escalate to Clinical Director when patterns persist
• Escalation Management
  • Serve as the first point of contact for escalated issues, including:
    • Clinical concerns requiring higher-level review
  • Gather relevant information, assess the situation, and determine appropriate next steps.
  • Provide guidance or resolution when appropriate within role scope.
  • Escalate to Clinical Director when:
    • Issues involve high risk or liability
    • There is potential for discharge
    • Staff performance requires formal action
    • Parent concerns cannot be resolved at the Clinical Lead level
  • Ensure timely follow-up and documentation of all escalated concerns.
• Training, Mentorship & Clinical Development
  • Support onboarding of new BCBAs by:
    • Reviewing initial cases and programming
    • Ensuring understanding of company expectations and systems
    • Providing early-stage feedback and support
  • Provide ongoing mentorship to assigned BCBAs through:
    • Direct feedback on clinical work
    • Skill-building in assessment, programming, and behavior intervention
    • Support with clinical reasoning and case conceptualization
  • Identify skill gaps across the team and address through:
    • Individual coaching
    • Group guidance
    • Training topics
  • Participate in and/or lead clinical trainings, meetings, or case discussions.
• Collaboration & Leadership
  • Attend and actively participate in leadership meetings with Clinical Director.
  • Provide updates on:
    • Team performance
    • Compliance status
    • High-risk clients
    • Staff concerns
    • Support needs
  • Communicate proactively with Clinical Director regarding:
    • Trends impacting quality or operations
    • Staffing or caseload concerns
    • Risks to client care or service delivery
  • Maintain consistency in clinical expectations and enforcement across all assigned BCBAs.
  • Model professionalism, accountability, and clinical excellence.
• Role Expectations
  • Maintain strong organization and follow-through across multiple BCBAs and cases.
  • Balance support with accountability.
  • Address issues proactively rather than reactively.
  • Uphold clinical quality while supporting efficiency and timeliness.
• Performance Expectations
  • High-quality and timely review of clinical documentation.
  • Consistent communication and support to assigned BCBAs.
  • Reduction in overdue reports and compliance issues.
  • Positive team feedback and improved BCBA performance.

Requirements

• Active BCBA certification.
• At least 2 years' experience in a BCBA role.
• Strong clinical and assessment skills.
• Demonstrates leadership, communication, and problem-solving abilities.
• Ability to manage multiple priorities and support a team effectively.