High Acuity Behavior Specialist

ICBD

3d • Remote

About The Position

The High Acuity Behavior Specialist provides advanced clinical consultation and supervision to support the safe and effective treatment of complex client cases through the organization’s Collaborative Case Review (CCR) framework. This role partners with clinicians, clinic leadership, admissions, and diagnostic teams to guide admission decisions, stabilize high-acuity cases, and strengthen clinician capacity to manage clients with elevated behavioral, psychiatric, medical, or environmental complexity. The position operates within a ratio-based clinical supervision model and focuses on case consultation and clinical support rather than policy development, operational management, or formal quality auditing.

The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Requirements

• The High Acuity Behavior Specialist requires a Master's degree in Behavior Analysis, Psychology, Special Education, or a related field, and must hold an active Board-Certified Behavior Analyst (BCBA) credential
• Minimum 7+ years of clinical experience in applied behavior analysis, with demonstrated experience supporting complex or high-acuity cases.
• Strong clinical expertise working with individuals presenting with severe behavior, psychiatric complexity, or multi-factor treatment challenges.
• Demonstrated ability to provide clinical consultation and mentorship to experienced clinicians.
• Experience collaborating with clinical leadership, admissions teams, and multidisciplinary professionals to support complex treatment decisions.
• Excellent communication and problem-solving skills with the ability to navigate complex clinical situations.
• Strong organizational skills with the ability to manage multiple cases and consultation responsibilities simultaneously.
• Proficiency in Microsoft Office Suite, including Teams, Excel, PowerPoint, and SharePoint.
• Ability to interpret clinical data and patterns to support stabilization planning and risk mitigation.

Responsibilities

• Provide advanced consultation to clinicians managing cases with elevated behavioral, psychiatric, medical, or environmental complexity.
• Support clinicians and clinic leadership in developing and implementing stabilization strategies for high-acuity cases.
• Identify and recommend additional clinical support, resources, or interventions needed to safely maintain services for complex clients.
• Assist clinical teams in implementing treatment recommendations resulting from Collaborative Case Review discussions.
• Partner with Clinical Directors and clinic leadership to mitigate safety risks and promote sustainable treatment environments.
• Provide mentorship and clinical guidance to clinicians navigating complex treatment decisions.
• Support clinicians in determining appropriate timelines for fading enhanced clinical supports as cases stabilize and team capacity increases.
• Maintain accurate documentation and tracking of case consultation, recommendations, and follow-through.
• Operate within a defined supervision ratio of approximately 1 FTE per 50 clients receiving active Collaborative Case Review supervision, ensuring consistent oversight and sustainable clinical support.
• Participate in pre-service case review meetings for complex referrals identified during the admissions and diagnostic process.
• Collaborate with the admissions team to review complex referral leads and identify cases that may require advanced clinical oversight prior to admission.
• Participate in admission pipeline discussions when behavioral, psychiatric, or environmental risks may impact service readiness.
• Work with diagnostic and assessment teams to ensure appropriate risk identification and safe assessment planning for complex clients.
• Provide consultation to support safe and informed admission decisions when elevated clinical risk factors are present.
• Support coordination between admissions, assessment teams, and clinical leadership when additional clinical safeguards or resources are necessary prior to admission.
• Participate in post-admission follow-up reviews for newly admitted complex cases, typically within the first month of services, to support early stabilization and alignment with treatment planning.
• Support pre-service case review volume generated through the admissions and diagnostic pipeline, including participation in approximately 30 structured pre-service case review meetings per month consisting of pre-admission consultation and post-admission stabilization follow-ups.

Benefits

• 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Medical, dental, vision, long-term disability, and life insurance.
• Generous 401(k) with up to 6% employer match.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level