Nurse Practitioner / Physician Assistant (Tennessee) - Hospital Consult Float

About the company 

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.

Role Summary 

As a Steadfast Health Float APP, you’ll practice at the top of your license, providing compassionate, evidence-based addiction medicine care across our inpatient consult and outpatient programs. Your primary focus will be supporting Tennessee inpatient consult overflow and emergent outpatient inductions, helping ensure patients receive timely treatment recommendations, medication initiation when clinically appropriate, and seamless connection to ongoing care. 

Care without barriers. We believe people deserve respectful, evidence-based treatment on their terms. Our model is low-barrier, non-punitive, and harm-reductionist, and we partner with patients as respected equals. You'll use Motivational Interviewing principles to meet people where they are, often at a pivotal moment in their hospitalization.

This is a virtual-first role, with preference given to candidates based in the Nashville area to preserve the flexibility to provide in-person hospital support when needed. You’ll work closely with hospital providers, nursing teams, case managers, outpatient teams, and Steadfast leadership, with physician backup readily available. 

What makes this role different:

• Direct impact at the point of need. You'll help patients receive timely treatment recommendations and medication initiation when clinically appropriate, then connect them to ongoing care through a smooth handoff to Steadfast outpatient clinics.
• Flexibility. Work virtually most of the time, with in-person hospital coverage when needed.
• Room to grow. Steadfast is expanding across multiple states, and this role offers exposure to inpatient, outpatient, and virtual care models.
• Benefits include: 
  • Medical, dental & vision insurance, plus 100% employer-paid short- and long-term disability and life insurance
  • 401(k) with up to 5% company match
  • 29 days off a year to start (PTO, floating holidays, paid volunteer days), increasing on your anniversary — plus 4 Re-Fuel Days annually for mental health, rest, or CEU activities
  • $2,000 annual CEU stipend and ongoing paid training
  • Free, confidential EAP access to therapy, legal, financial, and wellness resources
  • Protected time built into your day for recharging, clinical supervision, huddles, care planning, and admin work
  • MA/LPN and Peer Recovery Specialist support, collaborative care model with physician backup, and manageable panel sizes so you can practice at the top of your license
  • Extra perks: SoFi student loan interest rate discount, Rightway Health Concierge, a year of free pet telehealth through Pawp, and Perkspot discount marketplace
  • Soulside AI documentation support — because your energy belongs with patients, not paperwork
  • We believe lived experience with recovery is a strength, not a barrier — many of our team bring personal or family experience with addiction and recovery, and we welcome candidates in recovery to apply

Responsibilities 

• Provide coverage for Tennessee inpatient consult overflow, including assessment and management of patients with substance use disorders and related comorbidities. 
• Conduct emergent outpatient inductions referred through the inpatient consult program, including clinical evaluation, treatment planning, medication initiation when appropriate, patient education, and coordination of follow-up care. 
• Collaborate closely with hospital teams including attending physicians, hospitalists, nursing staff, and case managers, to develop and implement evidence-based treatment plans. 
• Provide compassionate, patient-centered advocacy through the application of Motivational Interviewing principles. 
• Deliver up-to-date, life-saving, cutting-edge substance use disorder therapies with ongoing mentorship from specialty-trained addiction experts. 
• Ensure smooth handoffs to Steadfast Health outpatient clinics and community resources, promoting continuity and reducing barriers to long-term recovery. 
• Build strong, respectful relationships with hospital and outpatient teams, contributing to an integrated, collaborative model of care. 
• Remain available for in-person support at Nashville-area partner hospitals when operational or patient needs require it. 
• Maintain readiness to support Steadfast programs in Ohio or North Carolina if Tennessee demand does not fully utilize the role. 
• Demonstrate flexibility and proactive problem-solving across changing clinical priorities, coverage needs, and care settings. 
• Continuously pursue learning opportunities to stay current on addiction medicine and inpatient, outpatient, and virtual-care best practices. 

Qualifications 

• NP (FNP, AGNP, PMHNP preferred) or PA-C (Internal, Family, Emergency, or Hospital Medicine experience preferred).  
• Licensed in the state of Tennessee, with willingness and ability to obtain and maintain licensure in Ohio and North Carolina, with the financial and administrative support of Steadfast Health.
• Minimum of 1–2 years of hospital-based clinical experience strongly preferred. 
• Comprehensive medical and/or psychiatric evaluation and management experience in substance use disorder treatment. 
• Knowledge of substance use disorder diagnoses, medications, induction protocols, and treatment modalities. 
• Ability to confidently navigate hospital systems and technology, outpatient workflows, virtual-care platforms, and interdisciplinary teams. 
• Excellent interpersonal and communication skills, with the ability to build trust with patients and collaborate effectively with hospital and outpatient staff. 
• Comfort working independently in a virtual environment while maintaining close communication with physician backup, operational leaders, and care teams. 
• Nashville-area location preferred to enable in-person hospital coverage when needed. 
• Flexible, solutions-oriented, and committed to continuous learning and professional development. 
• Passionate about Steadfast Health’s mission to provide low-barrier, non-punitive, harm-reductionist substance use disorder care. 

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 perform the essential duties of a virtual clinical role, including extended periods using a computer, video, telephone, and electronic health record systems. 
• Manual dexterity and fine motor skills to operate computer and medical equipment, perform examinations when working in person, and complete electronic documentation. 
• Ability to communicate clearly with patients, families, hospital staff, and Steadfast team members, both verbally and in writing. 
• For occasional in-person hospital coverage, ability to move throughout hospital units, including frequent walking and standing. 
• Capacity to occasionally lift or move items up to 25 pounds, such as medical supplies. 
• Visual and auditory acuity sufficient to assess patient conditions, review medical records, conduct virtual visits, and respond to clinical situations. 
• Flexibility to adapt to fast-paced, variable inpatient, outpatient, and virtual-care environments while maintaining a patient-centered focus. 

Schedule: This role follows the anticipated schedule of Monday - Friday 8:30a-5p. Coverage needs may vary based on Tennessee inpatient consult volume, emergent outpatient inductions, and organizational priorities. Please note that the schedule and assigned programs may evolve based on organizational needs, and flexibility may be required as Steadfast Health continues to grow. 

Salary: This is a full-time, W2 position offering a salary of $132,500 - $145,000, commensurate with experience - as well as a 5% monthly performance based bonus 

Investors & Partners  

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners. Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations, all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower healthcare costs for all). TAP emphasizes the importance of creating strong, front-line focused company cultures that enable high-quality patient care.