Medical Director

Steadfast Health•Nashville, TN

13d•Hybrid

About The Position

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they’re most 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 provides clinical supervision, medical oversight, and quality leadership for Advanced Practice Providers (APPs) delivering SUD care across hospital consultation and outpatient clinic settings. This role is primarily supervisory and consultative, with limited direct patient care as needed to support safe, effective care delivery. The Medical Director models Steadfast’s commitment to evidence-based, non-judgmental, harm-reduction–oriented care and serves as a trusted clinical resource to APPs managing complex substance use, medical, and psychiatric presentations. While the role is predominantly virtual, periodic on‑site presence is required, 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.

Requirements

MD or DO with an active, unrestricted Tennessee medical license.
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 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 Certification as an Addiction Medicine Specialist by the American Society of Addiction Medicine (ASAM) or board certification in Addiction Medicine.
Meaningful experience treating Substance Use Disorders, including prescribing and supervising medication for addiction treatment (MAT) across substances.
Prior experience supervising or collaborating closely with APPs and/or residents.
Strong clinical judgment, communication skills, and comfort providing real-time guidance.
Alignment with harm-reduction, low-barrier, patient-centered addiction care.

Nice To Haves

Addiction Medicine board certification (ABAM / ABPM).
Experience with hospital-based SUD consultation services.
Prior Medical Director, Associate Medical Director, or supervising physician experience.
Interest in teaching, program development, or clinical research.

Responsibilities

Provide supervising physician coverage for APPs delivering SUD care in both hospital consult and outpatient clinic settings.
Offer clinical oversight for comprehensive SUD treatment, including the prescribing 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, and outcomes-driven clinical practice consistent with Steadfast values.
Provide ongoing clinical supervision to APPs practicing at varying levels of experience and scope.
Review clinical documentation and provide required co-signatures in accordance with Tennessee regulatory 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.
Provide case-by-case clinical guidance via phone or secure messaging to support timely decision-making.
Conduct monthly 1:1 supervision meetings with APPs, including clinical feedback, case review, and targeted clinical education.
Ensure clinical care aligns with Tennessee state regulations, DEA requirements, and applicable federal standards.
Partner with the CCO and medical operations leaders on quality assurance, peer review, and risk management activities.
Support the development and continuous improvement of clinical protocols, workflows, and supervision structures.
Lead or contribute to APP and resident didactics focused on addiction medicine best practices and complex case management.
Contribute to implementation science, 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 broader state-level and/or national clinical leadership roles as Steadfast expands, based on organizational need and individual interest.