Medical Director

Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. We focus on low-barrier, high quality care, meeting patients where they are with evidence-based therapies and compassionate support. We are growing rapidly and seeking a dedicated team to fulfill our mission.

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.

Clinical Leadership & Supervision

• 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.

APP Supervision & Support

• 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.

Quality, Safety & Compliance

• Ensure clinical care aligns with Tennessee state regulations, DEA requirements, and applicable federal standards.
• Partner with the Chief Clinical Officer (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.

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 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.

Required

• MD or DO with an active, unrestricted Tennessee medical license.
• Compliance with applicable regulatory requirements: must meet and maintain at least one of the following qualification criteria:
• Experience-Based Requirement: a minimum of three (3) years of documented experience in providing services to individuals with alcohol and/or other substance use disorders, including at least one (1) year in treating opioid addiction; or
• Psychiatric Requirement: board eligibility in psychiatry and a minimum of two (2) years of documented experience in treating individuals with alcohol and/or other substance use disorders; or
• Specialty Certification…