Nexus

Nexus

Insurance

Schertz, TX 1,892 followers

The leader in independent clinical review and utilization management.

About us

Nexus is dedicated to providing the highest quality of service in the field of utilization review. We specialize in providing physician services to the utilization review and risk management industry through accurate, independent, evidence-based results which provide a high quality outcome. Our experienced physicians and professional administrative staff consistently prove to be a leader and beacon for the medical review industry.

Website
http://www.nexmc.com
Industry
Insurance
Company size
51-200 employees
Headquarters
Schertz, TX
Type
Privately Held
Founded
2009
Specialties
Utilization Review, Peer Reviews, Short-Term Disability Reviews, Long-Term Disability Reviews, Medication Reviews, EMG/NCV, Surgeon's Code Billing Reviews, IROs, Auto Liability Review, Medical Legal Review, Workers Compensation Review, and Cost Containment Services

Locations

Employees at Nexus

Updates

  • View organization page for Nexus, graphic

    1,892 followers

    At Nexus, our vision is to revolutionize managed care by providing innovative solutions that enhance patient care and streamline complex processes. 🌟 We are dedicated to leveraging cutting-edge technology to create a more efficient, effective, and compassionate healthcare system. Our commitment to excellence drives us to continuously improve and develop new ways to support medical professionals, claims professionals, and improve patient outcomes. Nexus is at the forefront of managed care innovation, ensuring that providers, payers, and patients all benefit from our advancements. Discover how we are transforming the future of healthcare for the better 💫 #NexusHealthcare #InnovateManagedCare #FutureOfMedicine #PatientCare #ManagedCareRevolution

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    1,892 followers

    Ensuring Compliance and Quality at Nexus 🌟 At Nexus, we expertly navigate Federal and State Healthcare Regulations through our robust Compliance Program. Our Compliance team ensures adherence to all federal and state mandates, meeting HITRUST certification security standards, URAC best practices, and supporting our team and clients nationwide. Nexus maintains necessary licensure in all required states and supports a network of licensed Physician Expert panelists to provide top-tier review services nationwide. Having a phenomenal compliance program is at the foundation of our quality mission. We continually refine our processes, respond to issues in real-time, and conduct annual assessments to ensure top quality and excellence. We never compromise on quality and always deliver unparalleled review services to help you navigate regulatory compliance with precision.🏥🔍✨ #Compliance #QualityCare #HealthcareLeadership #Nexus

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  • View organization page for Nexus, graphic

    1,892 followers

    Celebrate Independence Day with Nexus As we gather with family and friends to celebrate the Fourth of July, we at Nexus reflect on the values of freedom, innovation, and resilience that define our great nation. Nexus is dedicated to pioneering advancements in Healthcare Utilization Management. Our commitment to excellence, integrity, and innovation drives us to provide the highest quality healthcare solutions, striving that every patient receives the compassionate care they deserve. On this special day, we extend our heartfelt gratitude to all healthcare professionals and partners who work tirelessly to improve patient outcomes. Wishing you a joyous and safe Independence Day from all of us at Nexus. 🇺🇸✨ #FourthOfJuly #IndependenceDay #HealthcareSolutions #Nexus #Innovation #QualityCare

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  • View organization page for Nexus, graphic

    1,892 followers

    Exciting news! Nexus has joined the AAPAN Board of Directors! We're proud to announce that our CEO, Edward Bolton, will be taking a board seat. Here's to new beginnings and continued growth! 📈   #Nexus #AAPAN #Leadership

    We would like to announce a new organization that has joined the AAPAN Board of Directors. Nexus joined the association and their CEO, Edward Bolton will be taking the board seat. Bolton established Nexus, a utilization review and medical cost containment company which initially served the worker's compensation system in Texas. Nexus is now a nationally accredited utilization management firm, which has expanded with national acquisitions in the commercial health UM/IRO industry and international customer base.

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  • View organization page for Nexus, graphic

    1,892 followers

    🎉 Happy National Insurance Day! 🎉 Today, we celebrate the vital role insurance plays in protecting individuals, families, and businesses. At Nexus, we understand the importance of insurance in ensuring access to quality healthcare and financial security. From Workers' Compensation and beyond, we're dedicated to supporting insurers, third-party administrators, and employers in delivering prompt and accurate compassionate care to those in need. Together, let's continue to safeguard health and well-being for all. 🌟🏥 #NationalInsuranceDay #HealthcareProtection #QualityCare

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  • View organization page for Nexus, graphic

    1,892 followers

    At Nexus, we offer expert solutions in the property casualty space, with a special emphasis on injury-related claims. 🚑💼 In today's dynamic insurance landscape, optimizing the management of work comp, auto, and general liability claims is paramount. That's why Nexus stands at the forefront, offering comprehensive solutions to drive efficient, evidence-based decisions and ultimately, deliver superior outcomes for all stakeholders involved. 💡💼 With a proven track record of excellence and a commitment to quality care, our team of seasoned professionals is dedicated to navigating the complexities of casualty insurance with precision and expertise. 💪🔍 Key Highlights of Our Casualty Insurance Solutions: ✅ Rapid Return-to-Work Strategies for Work Comp Claims ✅ Accurate Reviews of Auto and General Liability Claims ✅ Tailored Solutions to Address Every Aspect of Injury Claims #CasualtyInsurance #WorkComp #AutoInsurance #GeneralLiability #InsuranceSolutions #Healthcare #ClaimsManagement

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  • View organization page for Nexus, graphic

    1,892 followers

    🎉 Celebrating Fifteen Years of Excellence! 🎉 For fifteen years, we have been the leading force in independent clinical review and utilization management. Our commitment to delivering quality, outcome-focused clinical expertise and innovative solutions has never been stronger. Thank you to our dedicated team, valued clients, and partners for your continued trust and support. Here’s to many more years of optimizing healthcare outcomes together! 🥂 #NexusAnniversary #HealthcareExcellence #InnovationInHealthcare

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  • View organization page for Nexus, graphic

    1,892 followers

    🌟 Discover Nexus: Your Trusted Partner in Healthcare Solutions! 🌟 At Nexus, we're more than just a healthcare Utilization Management Company —we're your dedicated ally in navigating the complex landscape of clinical review and utilization management. With a commitment to excellence and innovation, we deliver tailored solutions to insurers, third-party administrators, employers, and more. Why choose Nexus? ✅ Extensive Physician Network: Access over 1000 highly-qualified physicians across 98 specialties. ✅ Cutting-edge Technology: Streamline your referral process with our proprietary workflows and customer-facing portal. ✅ Quality Care: Accredited by URAC, we prioritize quality outcomes and patient well-being. ✅ Industry Recognition: Proud to be the first Utilization management company to be high trust certified Experience the Nexus difference and unlock new possibilities in healthcare management. Join us on this journey toward better outcomes and greater efficiency!🏥💡🔍✨ #HealthcareSolutions #ClinicalReview #UtilizationManagement #Innovation #QualityCare

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    1,892 followers

    🛡️ This National Safety Month, Nexus reaffirms its commitment to enhancing safety in the workplace and beyond! 🛡️ At Nexus, safety isn't just a priority; it's ingrained in everything we do. As a leading national organization specializing in independent clinical review and utilization management, we understand the critical importance of fostering safe environments for workers, patients, and communities alike. Our team is dedicated to optimizing healthcare outcomes through innovative solutions and quality clinical expertise. Whether it's ensuring proper care for workers' compensation cases, providing accurate reviews for liability claims, or addressing every aspect of a medical claim for an accurate review, safety is at the forefront of our approach.🛡️💼👨⚕️👩⚕️ #NationalSafetyMonth #WorkplaceSafety #InjuryPrevention #SafetyFirst #HealthcareSafety

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  • View organization page for Nexus, graphic

    1,892 followers

    🇺🇸 Nexus honors our veterans and active-duty members this Memorial Day. As a veteran-owned company deeply rooted in military values, we salute their sacrifice and service. Did you know that Nexus began with active-duty and veteran physicians dedicated to both their country and our mission of providing top-notch clinical review services? Today, nearly 40% of our team has military affiliations, embodying the resilience, dedication, and strength of our military community. Thank you to all veterans, active-duty members, and military families for your sacrifice and service. 🙏 #MemorialDay #VeteranOwned #MilitaryAppreciation

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