Company Profile

NEXUS ENTERPRISES, LLC

Company Overview

TARGETING BETTER HEALTHCARE OUTCOMES
For more than a decade, Nexus has optimized the clinical review process for insurers, third-party administrators, brokers, consultants, attorneys, employers, and government entities.

Nexus is a national leader in clinical and specialty review services, combining medical expertise with advanced technology to deliver accurate, defensible, and timely decisions that support better outcomes for all stakeholders. With decades of industry experience, our team brings together board-certified physicians, legal experts, and healthcare professionals to ensure the highest standards of quality and compliance.

We specialize in services that span the healthcare, workers’ compensation, disability, auto liability, and government sectors—supporting insurers, TPAs, employers, and managed care organizations. Our clinical-first approach is grounded in evidence-based guidelines, transparent workflows, and seamless technology integration, empowering clients to make confident decisions that are both cost-effective and patient-centered.

Nexus upholds stringent regulatory standards. Our commitment to compliance ensures confidence in our services.
-URAC Accredited
-Largest and most robust physician networks in the industry. Our panel of physician experts, selected based on high accreditation standards, covers over 98 specialties and subspecialties.
-URAC Framework Updates: Nexus stays informed and aligned with the latest compliance requirements.
-HIPAA Compliant: Patient privacy and data security are paramount.

Notable Accomplishments / Recognition

www.nexmc.com

Positions Available
  • 1 day ago

    Utilization Review, Assistant Director

    NEXUS ENTERPRISES, LLC - Schertz, Texas, United States

    TheAssistant Director, Utilization Review,is responsible for assisting the Director, Utilization Review, with the leadership, supervision, and training of the Utilization Review and Quality Departments, as well as for the collection, aggregation, analysis, and reporting of complex production and quality assurance data. The data will be used to support the efficient utilization of administrative nursing resources and review improvement activities. In addition, the Assistant Director will hold ...

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