The Senior Clinical Supervisor is an advanced-level clinical role responsible for providing comprehensive oversight to a high-volume caseload (20+) supported by a mid-tier supervisor such as Assistant Supervisors and/or Associate Supervisors (BCaBAs). This position ensures the delivery of high-quality, evidence-based behavior analytic services while fostering the development and competency of mid-tier clinical staff. The Senior Clinical Supervisor is responsible for all clinical aspects of treatment for the patients they oversee. This includes either direct implementation of the following tasks or delegation of the following tasks to a mid-tier supervisor: the assessment and analysis of the patient’s skills and challenging behaviors, development of treatment plans, overseeing the implementation of treatment, collaboration with and training of their patient’s caregivers, as well as ongoing coaching and training of behavioral technicians. Treatment plans are primarily designed to address areas of medical necessity and may occur in a variety of settings including the CARD center, patient’s home, school, community, or via telehealth. Additionally, this role engages in structured clinical mentorship with mid-tier staff to support consistent and accurate implementation of delegated supervisory responsibilities. Senior Clinical Supervisors report to the Group Clinical Manager.
Maintain and manage a caseload of 20 or more patients
Provide structured supervision, coaching, and mentorship to Associate and Assistant Supervisors supporting the caseload
Delegate routine supervisory activities while ensuring completion of approximately 75% of all case management tasks by mid-level staff
Review and monitor delegated work—including program updates, documentation, communication efforts, and data integrity—to ensure accuracy and effectiveness
Uses clinical judgment to promote optimal outcomes for each patient
Develop and maintain treatment plans
Ensure that all supervision hours are at 100% treatment adherence each month
Evaluate patients to identify both skill deficits and strengths
Analyze challenging behaviors to identify the function of the behavior
Develop functionally relevant treatment plans to reduce challenging behaviors
Observe treatment implementation for potential program revisions
Monitor treatment integrity to ensure satisfactory implementation of treatment protocols
Direct (or delegate to a mid-tier supervisor) behavior technicians in the implementation of new or revised treatment protocols
Summarize and analyze data to evaluate patient progress towards treatment goals and adjust treatment protocols based upon data
Update treatment plans at least once per month, based upon patient response to treatment
Ensure strict adherence to all approved treatment hours as determined by Manager and inclusive of Supervisory hours and therapy hours
Accurately communicate treatment response to treatment stakeholders (i.e., caregivers, payers)
Coordinate care with other professionals
Administer, complete, and score standardized assessments
Include caregiver as a part of the treatment team, as evidenced by consistent Caregiver Collaboration meetings
Interacts with payers in a way that is collaborative, professional, thorough, and informative
Engages with payers as needed for funding meetings (i.e., IEP, peer reviews)
Stay up to date on best practices for ABA treatment to ensure clinical excellence
Maintains appropriate documentation in Skills and the patient’s medical record
Communicate effectively and with compassion to patients, families and colleagues
Provide direct therapy to patients, when required
Other duties as assigned
Ability to oversee 20+ patients including all appropriate state licensure and payor credentialing
Empathetic and compassionate individual with the ability to maintain strict confidentiality
Ability to work collaboratively with team members while maintaining a positive and solution focused attitude
Ability to work independently to solve problems and exercise clinical judgment
An effective communicator in both verbal and written formats
Demonstrate excellent time management skills and the ability to work in a fast paced, changing environment
Excellent computer skills and knowledge of MS Excel, Word, Outlook; ability to use new computer systems and iPads
Desire to continuously learn and develop skillsets
Ability to work in a variety of locations (center, telehealth patient home, etc.)
Ability to work with a variety of patients
Proficiency in English, both written and verbal
Be able to work with patients who are seated on the floor, in small chairs, or other home, school, community and clinic environments
Move frequently throughout the therapeutic setting to gather materials, anticipate and respond to the movement of a patient, and/or provide instruction in a variety of settings, such as school, playground, clinic, or community locations
Constantly position oneself to participate and respond to the movements and behaviors of patients, including but not limited to bending to assist a patient, kneeling/crouching to teach a play skill, hurrying to block an open doorway, or reaching to prevent a patient from entering a traffic congested street
Be able to utilize continuous visual tracking to monitor the movement of patients, as well as the items and circumstances in the surrounding environment
Occasionally move to evade aggressive behaviors and/or physically block attempts to aggress towards others. Responding to behaviors may occasionally require bearing weight of a patient who is leaning, pushing, etc.
Frequently teach patients to use vocal speech. Must be able to articulate sound and model speaking clearly, as well as listen to and shape vocal communication of patients
Occasional use of modeling to teach gross motor skills, such as climbing or jumping, and fine motor skills such as clapping or opening a container
Work in both indoor and outdoor settings as they relate to the patient’s natural environment, which may include being outdoors in a variety of weather conditions (e.g., community skills, recess in a school setting, etc.)
Ability to use computers, iPads, and similar equipment and systems
Able to read, analyze, and interpret information to make appropriate treatment recommendations
Be able to lift-up to 30 lbs. while assisting patients
