Nurse Appeals Associate

Job description

Anticipated End Date: 2026-04-29 Position Title: Nurse Appeals Associate Job Description: Nurse Appeals Associate Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work Schedule: Monday - Friday; 10:00a 7:00p CST The Nurse Appeals Associate is responsible for supporting the development and implementation of quality improvement interventions and audits. How you will make an impact: - Researches, collects data, and submits and resolves administrative appeals. - Contributes to external reviews site visit preparations by the State, accreditation review and Quality Management Committee; conducts internal monitoring and audits timeline compliance standards. - Processes, tracks, trends, and reports complaint and...