Utilization Review Nurse - Employee Health Plan (EHP)
Cleveland Clinic
About this role
A Utilization Review Nurse at Cleveland Clinic Health System supports insurance companies by providing clinical information for surgery authorizations, coordinates peer reviews, and manages pre-determination cases. The role focuses on outpatient prior authorization requests and maintaining compliance with healthcare regulations.
Skills
Qualifications
About Cleveland Clinic
clevelandclinic.orgCleveland Clinic is a not‑for‑profit academic medical center founded in 1921 that provides comprehensive clinical and hospital care across a large integrated health system. It is known for world‑class specialty care, multidisciplinary teams, and leadership in medical research, education, and health information. The organization operates hospitals, outpatient centers and digital/telehealth services, and employs roughly 65,000 staff to serve patients regionally and internationally.
Recent company news
Cleveland Clinic NewsroomCleveland Clinic and Khosla Ventures Announce Strategic Collaboration
Oct 14, 2025
Pensions & InvestmentsUniversity of North Carolina endowment manager selects CEO-CIO from Cleveland Clinic
2 days ago
Crain's ClevelandCleveland Clinic enters five-year collaboration agreement with Boston artificial intelligence company
1 week ago
PGA TourCleveland Clinic, PGA TOUR launch long-term partnership focused on player health, performance and longevity
1 month ago
Ortho Spine NewsCleveland Clinic partners to invest in and create health tech companies
Oct 15, 2025
About Cleveland Clinic
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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and employee contacts for Cleveland Clinic.
Salary
$259k – $375k
per year
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