Advanced Senior Therapist - East Madison, WI

Job Locations US-WI-East Madison
Hire Type
Regular Full-Time
# of Openings
Job ID


The Advanced Senior position is responsible for Senior Staff duties and some duties completed by Clinical Supervisors.  The Advanced Senior position will have two levels of responsibility.  At the first level, the Advanced Senior Staff will complete all duties of Senior staff without Clinical Supervisor supervision (i.e. acting as own Clinical Supervisor.)   For this first level, the Advanced Senior will report directly to the Clinical Director and Lead Therapists.  At this first level of Advanced Senior, it is expected that the cases will have clients with varying levels of functionality and programming will be effectively implemented and progressed for this caseload. 

Advanced Seniors at first level will be expected to take on more clinical responsibility than an average Senior Staff with an average of seven (7) clients with an average of 130-180 hours of treatment per week.  Advanced seniors are expected to be completing 22 or more hours of clinical time each week and set an example for other seniors to follow relative to clinic goals.  Advanced Senior Staff responsibilities include assessing client current level of development across the various sections of the curriculum, designing client programs, writing the Individual Treatment Plan (under the direction of the Lead Therapist), and providing hands-on training and supervision for Behavior Technicians. 

Once an Advanced Senior Staff demonstrates proficiency at the first level of Advanced Senior Staff over a period of 1-3 years, they become eligible for consideration to the second level of Advanced Senior Staff.   At the second level of Advanced Senior Staff, the duties and responsibilities will be a mix of Senior Staff and Supervisor responsibility.  The mix of duties and responsibilities will vary depending on the needs of the clinic.  The Advanced Senior Staff will receive mentoring during this second level of the position to develop the Supervisor and leadership skills for necessary for their development into a Clinical Supervisor.   It is expected that an Advanced Senior Staff will spend 1-3 years in this second level to develop strong  Clinical Supervisor Skills.  Promotion from the first level Advanced Senior to the second level requires recommendation of the Clinic Director and Lead Thearapist(s) and approval of the Chief Operating Officer.  Clinical Supervision duties are developed and mentored under the direction of the Clinic Director and Lead Therapists.  These responsibilities include mentoring and coaching Senior Staff and Senior Interns, supervising and management of home based intervention programs and treatment teams for children on the autism spectrum, ensures that client programs are progressing to maximum degree possible, serves as an added resource to parents, children, Senior Staff and Senior Interns to ensure satisfactory quality and service to the clients we serve.  Supervision caseload and duties vary depending on needs of the clinic.



Essential Functions:

  1. Develops client specific therapeutic treatment plans based on appropriate assessments and developmental guidelines. Advanced Seniors typically take on more complex cases and  do not require supervision by a Clinical Supervisor.
  2. In conjunction with supervisory staff and caregivers, develops programs appropriate to the current and future needs of the clients. Creates programs, moves targets forward, prepares program materials, and makes procedural changes as needed.
  3. Designs and implements behavior observation systems, support plans, and behavior intervention guidelines.
  4. Coordinate the collection, summarization and analysis of data related to individual program goals and behavioral plans.
  5. Consults with Senior Staff, Behavior Technicians, caregivers, and supervisory staff to ensure that programming is adequate to meet the needs of the client.
  6. Analyzes program data to ensure appropriate progress and effectiveness.
  7. Develops and maintains weekly and monthly progress notes, reviews clinical documentation of other Seniors, Behavior Technicians, and updates treatment plans.
  8. Completes appropriate assessments and probes new targets to determine future goals. Communicates with parents, guardians or other caregivers concerning behavioral and educational programming. 
  9. Supervises, orients, and trains Behavior Technicians in the implementation of programs and behavioral intervention procedures, routinely providing ongoing coaching and feedback to enhance staff development and skill. Ensures less experienced Seniors and Behavior Technician are oriented appropriately to the company and follow all policies and procedures.
  10. May supervise one or more less experienced Seniors upon reaching the second level Advanced Senior status.
  11. Evaluates Behavior Technician performance and addresses issues to ensure quality and consistency across clinical programs.
  12. Evaluates Senior Staff performance and addresses issues to ensure quality and consistency across clinical programs upon reaching the second level Advanced Senior status.
  13. Proactively addresses employee relation issues or concerns, including ongoing coaching and feedback, employee development, performance management, and disciplinary actions.
  14. Leads weekly clinical team meetings to discuss case progress, address Senior and Behavior Technician and caregiver concerns, review individual program plans, advance program targets, and recommend revisions as necessary.
  15. Provides verbal, written, and graphic communications.
  16. Consults with supervisory staff to ensure the provision of effective and efficient service delivery.
  17. Continually develops skills and knowledge in the area of behavior analysis through participation in continuing education, workshops, and required company training.
  18. Follows and abides by all APA ethical guidelines and policies, regulations, and laws including confidentiality and HIPAA. Adheres to mandated reporting regulations.
  19. Follows and ensures all staff are abiding by CAH policies and procedures.
  20. Maintains professional boundaries with clients and their families and represents company in a professional manner.
  21. Attends and participates in weekly clinic meetings with Supervisory and Lead staff present.
  22. As needed, will collaborate with a client’s school staff and attend IEP meetings to create consistency with service goals.
  23. Monitor weekly and monthly service hours to meet funding requirements.
  24. Consistent and regular attendance is a requirement of the position.


Non-Essential Functions/Other Duties 1.  Performs other duties as assigned


Supervisory Responsibility:   Behavior Technicians, and Senior Interns on assigned client cases at the first level of the position, and supervises Seniors at the second level of the position.   


Travel Required Daily travel to client homes and required meeting, with use of personal vehicle required. 


Physical Demands:

While performing the duties of this job, the employee may be exposed to a client who exhibits physically aggressive behavior which can include kicking, pinching, punching, biting, etc.  The employee may have to use appropriate behavior management techniques frequently with a client under such circumstances.  Such response requires agility, quick reflexes, and the ability to use physically evasive movement. The employee will be constantly required to stand, walk, sit, grasp, reach, bend, kneel, crouch, squat, hear, type and write.   In addition, the employee will be exposed to normal office conditions and usual office equipment such as phone, computer, printers, copiers, files, etc.  The employee must be able to independently and repeatedly lift, move, and carry objects weighing up to thirty-five (35) lbs.  Specific vision abilities required by this job include near, far, and field of vision.  Speech must be spoken in a way in which others will understand.  This position requires regular and punctual employee presence.




  • A Bachelor’s Degree in a human services discipline and at least 2,000 hours of training or supervised experience in the use of behaviorally based therapy models consistent with best practice and research on the effectiveness for children with autism spectrum disorders who meet all criteria to receive this service, OR
  • A Board Certified Assistant Behavior Analyst (BCaBA) with a minimum of 400 hours of hands-on training in providing ABA services directly to children and/or adults with autism under the supervision of a Board-Certified Behavior Analyst who has at least two years of experience in ABA programming for individuals with autism, OR
  • Legal authorization to perform psychotherapy, with a Master’s Degree in one of the behavioral sciences who has at least 400 hours of training or supervised experience in the use of behaviorally-based therapy models consistent with best practice and research on effectiveness for children with autism spectrum disorders, in addition to, or as part of their 3,000 hours of training/supervision; and have sufficient written evidence of training and/or education in the method of evidence-based therapy being delivered, prior to the provision of services.
  • Strong preference for Seniors who are currently pursuing BCBA certification, are willing to pursue, or have already earned such certification.




  • Minimum of three years of experience utilizing applied behavior analysis with children and adolescents, preferably as a Senior Staff implementing behaviorally based techniques and ABA strategies to modify behavior.
  • Preference for individuals who have worked with a variety of clients at varying functional levels.
  • Experience with functional behavior assessments and writing behavior support plans.
  • Previous leadership experience with the ability to effectively coach and mentor others.


Skills and Competencies:

  • Natural ability to interact with children, with the ability to work with a variety of children on the autism spectrum, at different functioning levels.
  • Must display energy and creativity.
  • Critical thinking skills, with strong analytical abilities.
  • Strong work ethic, with the ability to meet scheduling commitments and manage time effectively.
  • Strong leadership skills to include conflict resolution, coaching, and training.
  • Excellent verbal, written and interpersonal communication skills, with the ability to build and maintain relationships. Must be able to communicate information and ideas by speaking in a way in which others will understand.
  • Must be able to maintain confidentiality and abide by ethical guidelines and policies, including compliance with HIPAA laws and regulations. Maintain professional boundaries with clients and their families.
  • Demonstrate the ability to successfully adapt and perform in an ever-changing, fast paced environment.
  • Strong organizational and time management skills.
  • Must be self-motivated and goal oriented.



  • Must be 18 years old or older and pass a thorough Caregiver’s Background Check.
  • Must have a valid driver’s license and provide proof of auto insurance.


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