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Nexus Health Systems

Remote UTILIZATION REVIEW NURSE - RN

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Nexus Health Systems Employment Type: Full-Time Make an Impact from Anywhere Nexus Health Systems is seeking an experienced Utilization Review Registered Nurse (UR RN) to join our growing Utilization ...

Nexus Health Management

Business Office Assistant

Palos Hills, IL · On-site

$20 - $24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Join the Nexus of Care and Compassion At Nexus Health, our employees are the heart of everything we do. We are seeking an experienced and detail-oriented Business Office Assistant to join our team in ...

Nexus at Palos Hills

Business Office Assistant

Palos Hills, IL

$20 - $24/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Description Join the Nexus of Care and Compassion At Nexus Health, our employees are the heart of everything we do. We are seeking an experienced and detail-oriented Business Office Assistant to join ...

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$932

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How much do nexus health jobs pay per week?

As of Aug 19, 2026, the average weekly pay for nexus health in the United States is $2,076.69, according to ZipRecruiter salary data. Most workers in this role earn between $1,711.54 and $2,375.00 per week, depending on experience, location, and employer.

What is Nexus Health?

Nexus Health typically refers to a company or organization within the healthcare industry that provides a range of medical services, technology solutions, or health management programs. The specific services offered can vary, but may include patient care, digital health platforms, or coordination of healthcare resources. Nexus Health organizations often aim to improve healthcare outcomes through innovation, collaboration, and integrated care approaches.

What are the key skills and qualifications needed to thrive as a Nexus Health professional?

To thrive as a healthcare professional at Nexus Health, you generally need a background in healthcare or allied health, relevant certifications or licenses, and strong clinical and analytical skills. Familiarity with electronic health records (EHR) systems, healthcare management software, and compliance protocols is typically required. Outstanding interpersonal communication, problem-solving, and teamwork set top performers apart in this environment. These competencies ensure effective patient care, regulatory compliance, and smooth collaboration in a dynamic healthcare setting.

What are some common challenges faced by professionals working at Nexus Health, and how can new employees prepare for them?

Professionals at Nexus Health often work in a fast-paced healthcare environment where adapting to new technologies and compliance requirements is essential. New employees may face challenges such as managing a high volume of patient data, coordinating care across interdisciplinary teams, and staying updated on evolving healthcare regulations. To prepare, it's helpful to develop strong organizational and communication skills, familiarize yourself with electronic health record systems, and actively seek mentorship or training opportunities within the organization. Building a collaborative approach with colleagues can also help ease the transition and improve job satisfaction.

What is the difference between Nexus Health vs Medical Assistant?

AspectNexus HealthMedical Assistant
CertificationsVaries by role, often requires specific healthcare certificationsCertified Medical Assistant (CMA) or Registered Medical Assistant (RMA) commonly required
Work EnvironmentClinics, hospitals, healthcare facilitiesDoctor's offices, clinics, outpatient settings
Employer & IndustryHealthcare providers, hospitals, clinicsMedical practices, outpatient clinics
Job ResponsibilitiesPatient care coordination, administrative tasks, clinical supportVital signs, patient prep, administrative duties

Both Nexus Health and Medical Assistants work in healthcare settings, but Nexus Health roles may encompass broader clinical and administrative duties depending on the position. Medical Assistants typically focus on direct patient care and administrative support in outpatient environments. Understanding these differences helps job seekers find roles aligned with their skills and certifications.

More about Nexus Health jobs

What cities are hiring for Nexus Health jobs?

Cities with the most Nexus Health job openings:

What states have the most Nexus Health jobs?

States with the most job openings for Nexus Health jobs include:

What job categories do people searching Nexus Health jobs look for?

The top searched job categories for Nexus Health jobs are:

Nexus Health jobs near you
Infographic showing various Nexus Health job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $107,988 per year, or $51.9 per hour.

Remote UTILIZATION REVIEW NURSE - RN

Nexus Health Systems

Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Nexus Health Systems rating

6.3

Company rating: 6.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Remote Utilization Review Registered Nurse (UR RN)
Location: Remote (Texas RN License or Compact License Required)
Company: Nexus Health Systems
Employment Type: Full-Time
Make an Impact from Anywhere
Nexus Health Systems is seeking an experienced Utilization Review Registered Nurse (UR RN) to join our growing Utilization Management team. This fully remote position plays a critical role in ensuring patients receive medically necessary, high-quality care while promoting appropriate resource utilization and regulatory compliance.
If you're a detail-oriented RN with experience in utilization review, case management, or behavioral health and enjoy collaborating with interdisciplinary teams to improve patient outcomes, we'd love to hear from you.
What You'll Do
  • Conduct concurrent and retrospective utilization reviews to determine medical necessity and appropriate level of care.
  • Apply evidence-based criteria, including InterQual (or similar), to support clinical decision-making and payer compliance.
  • Collaborate with physicians, case managers, and interdisciplinary teams to facilitate timely authorizations, discharge planning, and appropriate transitions of care.
  • Review clinical documentation to ensure accuracy, completeness, and compliance with payer and regulatory requirements.
  • Manage insurance authorizations, denials, appeals, and level-of-care determinations.
  • Monitor utilization trends and contribute to quality improvement initiatives that enhance patient outcomes and operational efficiency.
  • Participate in multidisciplinary utilization review meetings and provide recommendations to optimize care delivery.
  • Maintain accurate documentation within the electronic health record (EHR) while ensuring HIPAA compliance.
Qualifications
Required
  • Associate Degree in Nursing (ADN) from an accredited nursing program.
  • Current, unrestricted Texas RN license or Compact RN license.
  • Minimum of 2 years of acute care clinical nursing experience.
  • At least 3 years of Utilization Review or Case Management experience involving complex medical/surgical and/or behavioral health patients.
  • Strong knowledge of payer guidelines, medical necessity criteria, and utilization management principles.
  • Excellent critical thinking, communication, and organizational skills.
  • Proficiency with electronic health records (EHRs) and Microsoft Office applications.
Preferred
  • Bachelor of Science in Nursing (BSN).
  • Experience with InterQual or MCG criteria.
  • Behavioral health utilization review experience.
  • Experience with Meditech.
  • Professional certifications such as CCM, CPHQ, or HCQM.
Why Nexus Health Systems?
At Nexus Health Systems, our mission is to improve lives through compassionate, high-quality care. As a member of our Utilization Review team, you'll collaborate with dedicated healthcare professionals while helping ensure patients receive the right care at the right time.
We offer:
  • Competitive compensation
  • Comprehensive medical, dental, and vision benefits
  • Paid time off and company holidays
  • 401(k) with company match
  • Professional development and continuing education opportunities
  • A collaborative, mission-driven culture
  • Fully remote work environment

If you're ready to make a meaningful impact in healthcare while enjoying the flexibility of working remotely, we'd love to hear from you.
Apply today through LinkedIn or visit the Nexus Health Systems Careers page to learn more.

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