Medical Director

Steadfast Health; Nashville (TN); Hybrid; USD 227,000 - 296,000; Part time

Job summary

Steadfast Health seeks a Medical Director to provide clinical leadership and supervision for APPs delivering SUD care across hospital consultation and outpatient settings. The role is primarily supervisory with limited direct patient care.

The position is mostly virtual with monthly on-site Nashville clinic visits and potential future locations. Compensation ranges hourly as a 1099 contractor, with part-time commitment of 10–29 hours per week.

Qualifications

• MD or DO with an active, unrestricted Tennessee medical license.
• Experience-based qualifications include 3+ years treating individuals with alcohol and/or other substance use disorders.
• Board eligibility in psychiatry with 2+ years experience in treating SUDs, or ASAM Addiction Medicine certification/board certification.

Responsibilities

• Provide supervising physician coverage for APPs delivering SUD care in hospital consult and outpatient clinic settings.
• Offer clinical oversight for comprehensive SUD treatment and MAT supervision across substances.
• Serve as a clinical escalation point for complex cases and treatment planning.
• Be available for virtual co-visits with APPs for high-risk or complex cases.
• Conduct monthly 1:1 supervision meetings with APPs.
• Ensure compliance with Tennessee regulations, DEA requirements, and federal standards.

Education

MD or DO with Tennessee medical license

Job description

Steadfast Health was founded toestablisha new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients whenthey’remost in need, Steadfast is relentlessly focused on making low-barrier, high quality care accessible to all. We know that the journey to recovery is unique for every individual, and our patient-centered approach ensures we meet patients where they are, providing evidence-based therapies with unwavering support in a compassionate environment that fosters healing and growth. We are growing rapidly and building a dedicated team of professionals who are committed to fulfilling our mission – join us!

The Medical Director providesclinical supervision, medical oversight, and quality leadershipfor Advanced Practice Providers (APPs) delivering SUD care acrosshospital consultation and outpatient clinic settings. This role isprimarily supervisory and consultative, with limited direct patientcare asneeded to support safe, effective caredelivery.

The Medical Director modelsSteadfast’scommitment toevidence-based, non-judgmental, harm-reduction–orientedcare andserves as a trusted clinical resource to APPs managing complex substance use, medical, and psychiatric presentations.

While the role ispredominantly virtual, periodic on‑site presence isrequired, including monthly visits to the Nashville clinic and future Nashville locations, as well as inpatient consultation sites, to ensure effective clinical oversight, provider support, and regulatory compliance.

Core Responsibilities

Clinical Leadership & Supervision

• Provide supervising physician coverage for APPs delivering SUD care in bothhospital consultandoutpatient clinicsettings.
• Offer clinical oversight for comprehensive SUD treatment, including theprescribing and supervision of medication-based addiction treatment (MAT) across substances.
• Serve as a clinical escalation point for complex cases, diagnostic uncertainty, safety concerns, and treatment planning challenges.
• Reinforce ethical, patient-centered, andoutcomes-driven clinical practice consistent with Steadfast values.

APP Supervision & Support

• Provide ongoing clinical supervision to APPs practicing at varying levels of experience and scope.
• Review clinical documentation and provide required co-signaturesin accordance withTennesseeregulatory requirements.
• Prescribe controlled medications when needed due to APP panel capacity, scope limitations, or pharmacy requirements.
• Be available for virtual “co-visits” with APPs for new, high-risk, or complex patient cases.
• Providecase-by-case clinical guidance via phone or secure messaging to supporttimelydecision-making.
• Conductmonthly 1:1 supervisionmeetingswith APPs, includingclinicalfeedback, case review, and targeted clinical education.

Quality, Safety & Compliance

• Ensure clinical care aligns withTennesseestate regulations, DEA requirements, and applicable federal standards.
• Partner with the CCO andmedical operations leaders on quality assurance, peer review, and risk management activities.
• Support the development and continuous improvement of clinical protocols, workflows, and supervision structures.

Optional Academic & Programmatic Opportunities

(Participation based on interest and availability)

• Lead or contribute to APP and resident didactics focused on addiction medicine best practices and complex case management.
• Contribute toimplementationscience, healthcare delivery research, or clinical publications.
• Support evaluation and refinement of innovative addiction care models.
• Partner with other local community organizations to expand access to Steadfast services and treatment initiation.
• Opportunity to grow into broaderstate-level and/or national clinical leadership rolesas Steadfast expands, based on organizationalneedand individualinterest.

Qualifications

Required

• MD or DO with an active, unrestrictedTennesseemedical license.
• Pursuant toapplicable federal and/or state regulatory requirements, individuals serving in this role must meet andmaintaincompliance with at least one (1) of the following qualification criteria :
  • Experience-Based Requirement:
    A minimum of three (3) years of documented experience in the provision of services to individuals with alcohol and/or other substance use disorders, including at least one (1) year of documented experience in the treatment of opioid addiction; or
  • Psychiatric Requirement:
    Board eligibility in psychiatry and a minimum of two (2) years of documented experience in the treatment of individuals with alcohol and/or other substance use disorders; or
  • Specialty Certification Requirement:
    Certification as an Addiction Medicine Specialist by the American Society of Addiction Medicine (ASAM) or boardcertification in Addiction Medicine.
• Meaningful experience treatingSubstance Use Disorders, includingprescribing and supervising medicationforaddiction treatment (MAT) across substances.
• Prior experience supervising or collaborating closely with APPsand/or residents.
• Strong clinical judgment, communication skills, and comfortprovidingreal-time guidance.
• Alignment with harm-reduction, low-barrier, patient-centered addiction care.

Preferred

• Experience with hospital-based SUD consultation services.
• PriorMedical Director, Associate Medical Director, or supervising physician experience.
• Interestin teaching, program development, or clinical research.
• Time Commitment: Part-time; 10 -29 hours per week
• Reports to: Chief Clinical Officer (CCO)
• Compensation Range: $165 - $215 an hour as a 1099 Contractor

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit, stand, and walk for extended periods during patient sessions, meetings, and daily work activities.
• Frequent use of hands and fingers for typing, writing, and handling clinical documentation and materials.
• Ability to occasionally lift and carry materials (e.g., patient files, training supplies) weighing up to25 pounds.
• Ability to respond promptly to emergency