Lead Behavior Support Services Clinician

Position Summary

The Lead BSS Clinician provides clinical oversight, operational coordination, and quality assurance for the Behavioral Support Services (BSS) program. This position provides clinical leadership, ensures the delivery of high-quality, evidence-based services, supports staff development, and monitors program effectiveness and compliance with applicable clinical, regulatory, and organizational standards. In addition to leadership responsibilities, the Lead BSS Clinician serves as a billable service provider, maintaining an active clinical caseload and delivering direct services as appropriate. The position reports directly to the Vice President of Clinical Services (VP of CS), who provides accountability, performance monitoring, and strategic direction.

Essential Duties and Responsibilities:

1. Clinical Leadership and Program Oversight

• Provide overall clinical oversight of the BSS program, ensuring services are delivered in accordance with established clinical standards, evidence-based practices, and organizational policies.
• Monitor the quality, effectiveness, and consistency of clinical services across the program.
• Ensure appropriate assessment, treatment planning, implementation, and ongoing evaluation of client services.
• Provide clinical consultation and guidance to staff regarding complex cases, treatment strategies, and client needs.
• Promote person-centered, trauma-informed, culturally responsive, and ethical service delivery.
• Identify opportunities for program improvement and implement strategies to enhance clinical outcomes.

2. Direct Clinical Services and Billable Productivity

• Maintain an active caseload and provide direct billable clinical services within the scope of professional licensure and certification.
• Complete clinical assessments, develop and review Person-Centered Plans, and provide ongoing evaluation of client progress, as applicable to the provider’s credentials and scope of practice.
• Ensure timely and accurate completion of clinical documentation, progress notes, treatment plans, and other required records.
• Meet established productivity, documentation, and service-delivery expectations.
• Support continuity of care through collaboration with clients, families, caregivers, treatment teams, and other service providers, as appropriate.

3. Staff Supervision, Training, and Development

• Provide clinical supervision, consultation, and mentorship to at least 1 BSS clinician and at least 2 Registered Behavior Techs.
• Support staff onboarding, professional development, and ongoing competency in clinical practices and documentation standards.
• Monitor staff performance and provide constructive feedback, coaching, and recommendations for improvement.
• Identify training needs and coordinate educational opportunities to strengthen clinical knowledge and service quality.
• Promote accountability, collaboration, and professional excellence across the BSS team.

4. Compliance, Quality Assurance, and Risk Management

• Ensure compliance with applicable federal and state regulations, payer requirements, professional ethical standards, and organizational policies.
• Monitor clinical documentation for accuracy, completeness, timeliness, and compliance with billing requirements.
• Support internal audits, quality assurance reviews, and corrective action plans as needed.
• Identify and escalate clinical risks, safety concerns, service-delivery issues, and compliance concerns to the appropriate leadership.
• Maintain confidentiality and ensure appropriate handling of client records and protected health information.

5. Program Operations and Performance Monitoring

• Oversee day-to-day clinical operations of the BSS program, including caseload management, service coordination, and clinical workflow.
• Monitor key performance indicators, including billable productivity, documentation compliance, service utilization, client outcomes, and staff performance.
• Develop and implement strategies to address performance gaps and improve program efficiency.
• Collaborate with organizational leadership to support program planning, resource allocation, and service expansion initiatives.
• Provide regular updates, reports, and recommendations to the VP of CS regarding program performance, clinical quality, staffing needs, and operational challenges.

6. Leadership Accountability and Communication

• Report directly to the Vice President of Clinical Services for accountability, performance monitoring, and overall program effectiveness.
• Participate in leadership meetings, case reviews, quality improvement initiatives, and strategic planning activities.
• Communicate program needs, challenges, risks, and accomplishments in a timely and professional manner.
• Ensure alignment between BSS program activities and the organization’s clinical goals, operational priorities, and mission.
• Demonstrate ownership of program outcomes and follow through on assigned initiatives and performance improvement plans.

Qualifications

Required

• Active BCBA certification, or current professional licensure as a Psychologist, Social Worker, or Therapist, appropriate to the position and services provided.
• Education, experience, and credentials sufficient to meet applicable state, payer, and organizational requirements for clinical service delivery.
• Demonstrated experience providing clinical services, developing treatment plans, and monitoring client progress.
• Experience with clinical documentation, regulatory compliance, and quality assurance.
• Strong leadership, organizational, communication, and problem-solving skills.
• Ability to manage direct service responsibilities while overseeing program operations and staff performance.
• Commitment to ethical practice, client-centered care, and continuous quality improvement.

Preferred

• Prior experience in behavioral support services, behavioral health, applied behavior analysis, or a related clinical setting.
• Previous supervisory, clinical leadership, or program management experience.
• Experience monitoring billable productivity, service utilization, and clinical performance metrics.
• Familiarity with electronic health records, payer documentation requirements, and clinical quality assurance processes.

Core Competencies

• Clinical leadership and sound professional judgment
• Program oversight and operational management
• Staff supervision, coaching, and development
• Ethical practice and regulatory compliance
• Performance monitoring and accountability
• Clinical documentation and quality assurance
• Communication, collaboration, and problem-solving
• Data-informed decision-making and continuous improvement

Compensation

The annual salary for this position is $95,000, subject to the organization’s compensation policies and applicable employment terms.

Position Expectations

The Lead BSS Clinician is expected to balance clinical leadership with direct service delivery, maintain professional licensure or certification as required, uphold the highest standards of ethical practice, and demonstrate accountability for the quality and performance of the BSS program.

This job description outlines the primary responsibilities of the position and is not intended to be an exhaustive list of all duties. Responsibilities may be modified based on organizational needs and applicable requirements.

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