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TPA Management for Drug & Alcohol Policies and Testing

Nexus supports safety-sensitive organizations with end-to-end drug & alcohol program services — from policy development and training to testing coordination, medical review oversight, and background screenings. Our TPA service lines are designed to be flexible and scalable, so employers can build a program that fits their industry, risk level, and regulatory requirements — without the administrative burden.

What We Offer

Policy development and implementation

We help you create clear, defensible drug & alcohol policies aligned with DOT or Non-DOT requirements. Then we support rollout so your program isn't just written — it's operational.

Testing program management + documentation workflows

We coordinate testing requirements and manage the documentation process from start to finish. This ensures records stay consistent, accessible, and audit-ready — without relying on scattered spreadsheets or manual filing.

DOT & Non-DOT program oversight

Whether your organization is federally regulated or building a drug-free workplace program by choice, we provide structured oversight. You get guidance, accountability, and a program that holds up under scrutiny.

Medical review coordination (MRO oversight)

We support the medical review process so results are handled correctly and confidentially. This ensures proper procedures are followed and your program stays compliant from the clinical side.

Education and online training

We provide training that helps employees and supervisors understand what the policy requires — and why it matters. Strong training reduces preventable violations, confusion, and inconsistent enforcement.

Pre-employment background screenings

Our screening services give you additional clarity before onboarding new hires. This is especially critical for safety-sensitive roles where trust, responsibility, and risk exposure are higher.

DOT Drug & Alcohol Compliance

Nexus provides TPA services for DOT compliance support across all major DOT modes: FAA, FMCSA (including Clearinghouse support), FRA, FTA, PHMSA, and USCG.

DOT Drug & Alcohol Compliance

Non-DOT TPA Programs

Not every organization is DOT-regulated — but every workplace benefits from clear policy, consistent enforcement, and defensible documentation. We provide TPA services for small businesses, SMBs, and enterprise employers. Non-DOT Program Services Include: • Company policy development • Regulatory oversight and program management

Non-DOT TPA Programs

Background Screenings

Companies often need a clearer understanding of potential employees before onboarding — especially in safety-sensitive, high-liability, or regulated roles. Nexus provides pre-employment background screening services including criminal background checks, motor vehicle records (MVR), and personal verification.

Background Screenings

Education + Online Training

Policies only work when teams understand them. Nexus provides education and online training designed to help employees and supervisors in both DOT-regulated and Non-DOT regulated companies

Education + Online Training

Loved by DERs & HR Leaders

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Angela

2025-04-12

"I couldn’t have created the auditor reports without Nexus. I’m so grateful for the platform."

- Angela, City of High Point
M

Marcus

2025-03-22

"Nexus has completely streamlined our onboarding process. Compliance is no longer a headache for our HR team."

- Marcus, Operations Director
S

Sarah

2025-02-15

"The automated alerts and integrated dashboards give us complete peace of mind during random testing cycles."

- Sarah, Transport Logistics

Ready to see Nexus in action?

From pre-hire checks to ongoing testing and recurrent training, Nexus helps aerospace companies stay compliant, organized, and prepared for any FAA or DOT review. Automate documentation, streamline verification processes, and keep every technician, engineer, and crew member fully aligned with regulatory and company standards.

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