Registered Behavior Technician

Nexus Health Systems Ltd•Spring, TX

12d•Onsite

About The Position

The Registered Behavior Technician (RBT) provides direct behavioral therapy services to children with neurodevelopmental and medical complexities in an inpatient hospital setting. Under the supervision of a Board Certified Behavior Analyst (BCBA), the RBT implements behavior intervention plans, collects data, and collaborates with interdisciplinary teams to support patient care and recovery.

Requirements

High school diploma or equivalent required.
At least three (3) years of experience in working in an Applied Behavior Analysis setting.
Minimum of 6 months experience working with children with autism or developmental disabilities.
Detail-oriented with strong observational and data collection skills.
Excellent communication and interpersonal abilities.
Ability to work collaboratively in a fast-paced, interdisciplinary environment.
Compassionate, patient, and adaptable to changing clinical needs.
Strong interpersonal and communication skills with children, families, and interdisciplinary teams.
Ability to implement ABA strategies with fidelity in a dynamic inpatient environment.
Competency in using Electronic Health Record (EHR) systems for documentation and data entry.
Effective prioritization of tasks in a fast-paced clinical setting.
Proficiency in behavioral de-escalation techniques and crisis prevention strategies.
Adaptability to changing patient needs and hospital routines.
Commitment to ethical standards, patient safety, and trauma-informed care.
Active Registered Behavior Technician (RBT) certification through the BACB.
BLS (Basic Life Support) from American Heart Association//American Red Cross required, must be valid for a minimum of 6 months from date of hire
Deescalation training required within 30 days of hire.
Must maintain current certification in good standing during employment with this facility.

Nice To Haves

Associate’s or Bachelor’s degree in Psychology, Education, or related field preferred.
Experience in a hospital, inpatient, or medical setting strongly preferred.

Responsibilities

Consistently supports and communicates the Mission, Vision, and Values of Nexus Health Systems
Upholds the Standards of conduct and corporate compliance
Demonstrates honest behavior in all matters. To the best of the employee’s knowledge and understanding, complies with all Federal and State laws and regulations.
Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.
Adheres to all Nexus Health Systems policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Collaborates effectively with colleagues and other departments to ensure seamless service delivery.
Collect and document real-time data on behavior, skill acquisition, and patient responses in a hospital EHR system.
Apply ABA techniques such as reinforcement, prompting, and shaping in a medically sensitive environment.
Monitor for signs of distress, pain, or medical complications and report promptly to clinical staff.
Maintain high fidelity to treatment protocols while adapting to the dynamic inpatient environment.
Participate in interdisciplinary rounds and contribute behavioral insights to care planning.
Deliver direct ABA therapy to pediatric patients in inpatient units under BCBA supervision.
Implement behavior intervention plans (BIPs) tailored to patients with co-occurring medical and developmental conditions.
Support patients during medical procedures, transitions, and daily routines using behavioral strategies.
Collaborate with nursing, child life, and therapy teams to ensure continuity of care.
Assist in crisis prevention and intervention using approved de-escalation techniques.
Provide basic nursing assistant care including hygiene support, feeding assistance, and mobility support.
Monitor and report changes in patient condition to nursing and clinical staff.
Assist with vital signs monitoring and routine patient care tasks as delegated by nursing staff.
Build therapeutic rapport with patients and families in a trauma-informed, compassionate manner.
Advocate for behavioral accommodations during medical care (e.g., visual schedules, sensory supports).
Educate caregivers and hospital staff on behavior strategies to support patient well-being.
Ensure patient dignity, autonomy, and comfort are prioritized in all interactions.
Support transitions to outpatient or home-based services with continuity planning.
Ensures all activities adhere to healthcare regulations and organizational policies.
Participates in quality improvement initiatives to enhance service delivery.
Promotes a culture of patient safety which results in the identification and reduction of unsafe practices.
Adhere to BACB ethical standards, hospital policies, and HIPAA regulations.
Maintain accurate, timely, and professional documentation in both ABA and hospital systems.
Participate in audits, quality improvement initiatives, and incident reporting processes.
Follow infection control, safety, and emergency protocols specific to inpatient care.
Engage in regular supervision and performance reviews to ensure clinical integrity.
Completes annual education requirements.
Maintains competency, as evidenced by completion of competency validation requirements.
Maintains competency and knowledge of current standards of practice, trends, and developments.
Participates in relevant workshops, seminars, and continuing education courses to stay current with industry trends, healthcare regulations, and best practices.
Complete hospital-mandated training (e.g., infection control, trauma-informed care, CPR).
Attend continuing education on ABA in medical settings, pediatric psychology, and neurodevelopmental disorders.
Participate in case conferences, journal clubs, and interdisciplinary learning opportunities.
Maintain RBT certification and complete annual competency assessments.
Seek mentorship and feedback to enhance clinical and professional skills.
Promotes stewardship of hospital resources while ensuring quality patient care.
Accurately log billable ABA service time in accordance with payer and hospital guidelines.
Support efficient scheduling and minimize missed sessions to optimize resource use.
Understand insurance and funding requirements for inpatient ABA services.
Collaborate with administrative staff to ensure authorizations and documentation are current.
Contribute to cost-effective care by using materials and time efficiently.
Performs other duties as assigned.