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Initial Clinical Reviewer Jobs in Indiana (NOW HIRING)

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Initial Clinical Reviewer information

See Indiana salary details

$23

$34

$44

How much do initial clinical reviewer jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for initial clinical reviewer in Indiana is $34.18, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $38.41 per hour, depending on experience, location, and employer.

What is an initial clinical reviewer?

An Initial Clinical Reviewer is a healthcare professional who evaluates medical records, treatment requests, and clinical documentation to determine if services are medically necessary and meet established guidelines. They often work for insurance companies, healthcare organizations, or third-party administrators, reviewing cases before approval or further review. Their assessments help ensure that patients receive appropriate care while controlling healthcare costs and maintaining compliance with regulations.

What are the key skills and qualifications needed to thrive as an initial clinical reviewer, and why are they important?

To thrive as an Initial Clinical Reviewer, you need in-depth clinical knowledge, attention to detail, and a degree in nursing or a related healthcare field, often accompanied by an active RN or similar licensure. Familiarity with utilization management software, electronic health records (EHR), and knowledge of regulatory standards such as CMS and NCQA are typically required. Strong analytical skills, critical thinking, and effective communication help professionals excel in this role. These competencies are crucial to accurately assess medical necessity, ensure compliance, and facilitate quality healthcare decisions.

What are some challenges initial clinical reviewers commonly face when assessing medical claims, and how can they effectively manage these challenges?

Initial Clinical Reviewers often encounter challenges such as interpreting incomplete documentation, staying current with evolving clinical guidelines, and balancing efficiency with accuracy under tight deadlines. To manage these challenges, reviewers typically rely on strong critical thinking skills, ongoing training, and collaboration with colleagues or senior clinicians for complex cases. Effective time management and clear communication with providers or other team members also help ensure thorough and timely reviews.

What is the difference between Initial Clinical Reviewer vs Claims Reviewer?

AspectInitial Clinical ReviewerClaims Reviewer
Required CredentialsHealthcare license, clinical experience, certifications (e.g., RN, LPN)Insurance knowledge, certification in claims processing (e.g., CPC)
Work EnvironmentHospitals, clinics, healthcare organizationsInsurance companies, third-party administrators
Employer & Industry UsageHealthcare providers, managed careInsurance carriers, claims processing firms
Common Search & Comparison IntentUnderstanding clinical review roles in healthcareUnderstanding claims processing and review roles

The main difference is that Initial Clinical Reviewers focus on evaluating patient care and medical necessity based on clinical standards, while Claims Reviewers primarily assess insurance claims for accuracy and compliance. Both roles require industry-specific certifications and work within healthcare or insurance environments, but their core responsibilities differ significantly.

How to be an Initial Clinical Reviewer?

To become an Initial Clinical Reviewer, candidates typically need a healthcare-related degree such as nursing, pharmacy, or a related field, along with experience in clinical assessment or case review. Certification in case management or relevant licenses can enhance prospects, and strong analytical, communication, and documentation skills are essential for performing reviews accurately and efficiently.
Infographic showing various Initial Clinical Reviewer job openings in Indiana as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 14% Part Time, and 6% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $71,089 per year, or $34.2 per hour.

RBT Assistant Clinical Assessor

LittleStar ABA Therapy- West Lafayette

West Lafayette, IN • On-site

Full-time

Posted 7 days ago


Job description

LittleStar's West Lafayette ABA Center is looking for a RBT Assistant Clinical Assessor to join their team. Already an RBT and interested in growing your career within the ABA field? This is a great next step in using your talents to help the neurodiverse community! 

The RBT Assistant Clinical Assessor is responsible for the treatment of patients, clinical assessments, and clinical coverage within their designated program.

Essential Duties and Responsibilities 

Clinical Treatment and Support:

  • Provide excellent patient care during scheduled shifts
  • Meet all requirements of the RBT position as outlined in the RBT job description
  • Provide patient care 50% of the time
  • Conduct treatment and receive supervision from a BCBA
  • Provide substitute coverage during clinical shift as needed (i.e., if you work 8:30-12:30, you will only cover clinical shifts between 8:30-12:30)
  • SOAP note checks (both timely submission and inclusion of required information)
  • General and patient-specific competency assessment checks for scorecard purposes
  • Lead small group treatment
  • Behavioral support (as needed)

Training Support:

  • Follow the RBT competency script with 90% accuracy or above
  • Maintain 90% accuracy with the RBT competency script at all follow-up assessments
  • Conduct RBT initial and renewal competency assessments, which involves conducting the assessment, evaluating if the demonstration meets the criteria for passage, and working with the scheduling department for re-evaluation of missed items
  • Complete the initial and renewal application packet correctly and independently
  • Send completed applications to the training department, Clinical Director, and applicant to ensure seamless progression through the credentialing process
  • Indicate missed items in Formstack for tracking and training purposes
  • Coordinate coverage for initial and renewal comps during absences
  • Refrains from excessive absenteeism
  • Provide initial and renewal CDI training to other RBTs within your program, which requires working with scheduling to determine when this can occur, assessing the accuracy of CDI procedures, and maintaining ongoing documentation
  • Delegate assessments to Clinical Director or Training Department as needed based on availability
  • Maintains client, family and employee confidentiality per LS policy and HIPAA Privacy Rule Regulations.
  • Promotes a positive company culture with open communication, respect, and teamwork

Break Coverage:

  • Attend to patient toileting needs when necessary 
  • Clean interactive areas
  • Create and submit incident reports as necessary. 
  • Implement de-escalation strategies as necessary to maintain safety
  • Provide sub coverage when you are not working with your assigned patient for staff who need to complete required trainings (e.g., Relias, CDI)
  • Must be available for coverage that may occur outside of your regularly scheduled clinical shift
  • Oversee breaks for groups of patients
  • Maintain patient safety during break coverage

Other related duties may be assigned by the Clinical Director.

Reasonable accommodation may be made for those who are unable to perform the essential duties of the job.

Educational Qualifications and Skills

  • Registered Behavior Technician (RBT) required.
  • Level 5 RBT required; level 6 or 7 preferred.
  • Excellent oral communication skills. 
  • Strong organizational and time management skills.
  • Must demonstrate discretion in matters that must remain private.
Condition of Employment 
  • Must successfully pass the initial and updated criminal history, background, and record checks, which includes driving history checks. 
  • Must provide transportation to patients using your personal vehicle and travel to different locations within the surrounding area to provide therapy and must have a valid driver’s license.
  • Must provide proof of automobile insurance with a minimum of $100,000 combined in property and medical liability prior to and during employment.
  • Must wear appropriate Personal Protective Equipment (PPE), as provided by LittleStar, as required, for both illness (i.e. masks, etc.) and patient behaviors (i.e. protective jackets, sleeves, hats/helmets, etc.). 
  • Must maintain scorecard measures of a Registered Behavior Technician.

Supervisory Responsibility 

This position has no supervisory responsibilities but is responsible for reporting assessment findings and SOAP note reviews to the Clinical Director.

Work Environment

Position operates in a clinical environment. This role routinely uses standard office and audiovisual equipment. The environment is open with bright lights and active patients that result in a loud environment. Position may also operate at offsite locations including a patient’s home, school, or place of employment. This role will be expected to work at multiple sites with different patient profiles, including a range of ability level(s) presenting challenging behaviors.

This position is not eligible for telecommuting. 

Physical & Psychological Demands

The physical & psychological demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. This position is required to work with special needs/disabled patients, who can be aggressive based upon their diagnosis. It is a physically active position, working with patients of varied activity levels and movement. Patients will move throughout the building to various locations during therapy. 

Employees will be required to implement appropriate behavior management techniques as prescribed by patient’s behavior plan. This will include physical management procedures in response to aggressive or unsafe behaviors. Employees must successfully demonstrate techniques learned during Crisis De-escalation and Intervention (CDI) training within the first few weeks of employment and annually thereafter. 

Employees must be flexible and adaptive to working with multiple patients with different patient profiles, including a range of ability level(s) presenting challenging behaviors.

While performing the duties of this job, the employee is regularly required to meet the following demands.

Physical requirements:

  • Speaking – must speak and understand the English language
  • Hearing – requires hearing ability sufficient to perform job duties safely and effectively
  • Reaching with hands and arms; be dexterous while using hands to finger, handle or feel
  • Exhibiting physical agility such as walk/run/climb stairs; sit/stand for long periods time; dodge/lunge/pivot/shuffle; have quick reaction time / move quickly; bend at waist, in all directions; be able to sit on floor with legs extended, then lean back supporting weight on elbow; be able to lay flat on floor, facing down; be able to get up from floor to stand quickly, without assistance of wall, chair or pushing themselves up with their hands
  • Lifting/pushing/pulling at least 50 lbs.
  • Enduring high levels of constant physical activity

Psychological requirements:

  • Patient behaviors may precipitate and/or impact an employee’s personal mental health. This role may not be suitable for people with certain behavioral health conditions (e.g., PTSD, Anxiety, Bipolar, etc.).
  • Must remain calm and focused under pressure 

Other requirements: 

  • Supervise employee’s patient consistently and independently 
  • Be able to work with patients who may be larger in height and/or weight than employee
  • Must be able to provide personal care assistance, including hygiene and toileting support, and work in environments where exposure to bodily fluids (including urine, feces, vomit, saliva, mucus, and other bodily secretions) is expected, while adhering to safety procedures.

Travel

Occasional travel may be required for this position.



M-F 8am-4:30pm