Tennessee

Tennessee Collaborating Physician Jobs – Flexible & High-Paying Opportunities

Tennessee requires every NP to have a written protocol with a supervising physician — permanently, with no independence pathway. With twice-yearly in-person meetings, a 20% chart review every 30 days, and physician signature requirements for controlled substance patients, Tennessee demands a genuinely engaged physician partner. That structure drives demand and compensation among the highest in the South — across Nashville, Memphis, Knoxville, and Chattanooga.

⏱ Get started in 24–48 hours ✅ Notice filed with TN Board of Nursing — we handle it 💰 No ratio cap — permanent income, no independence pathway 📋 Biennial protocol review — we coordinate renewals
Permanent
No NP independence pathway — physician supervision required throughout an NP’s career in Tennessee
20% / 30 days
Physician must personally review at least 20% of NP patient charts every 30 business days
2× / year
Physician and NP must meet in person at least twice per year to review patient care, practice needs, and protocols
Tennessee’s Oversight Requirements

Tennessee Has the Most Structured Ongoing Oversight Requirements in This Series

Unlike most states where oversight frequency is determined at the practice level, Tennessee specifies chart review percentages, meeting schedules, and physician signature triggers directly in statute and Board rules.

Tennessee’s four key ongoing physician obligations under TCA § 63-7-123 and Rules Chapter 0880-06:

Chart Review

20% of Charts Every 30 Business Days

The supervising physician must personally review at least 20% of the NP’s patient charts on at least a 30-business-day cycle. This is the most specific ongoing chart review frequency of any state in this series — quarterly is common elsewhere; Tennessee requires it every 30 days.

Physician Signature — Triggered Reviews

Required Signature Within 30 Days for Specific Patients

The physician must personally review historical, physical, and therapeutic data and certify by signature within 30 days for any patient where: (1) a controlled drug was prescribed; (2) there was a hospitalization; or (3) there was a referral to a specialist. These are triggered requirements beyond the standard 20% review.

In-Person Meetings

At Least Twice Per Year

The physician and NP must meet in person at least twice per year to review patient care, discuss practice needs, and evaluate protocols. Tennessee is one of only a handful of states in this series with a mandatory in-person meeting schedule specified in statute.

Protocol Review

Biennial Update Required

The written protocol must be reviewed, updated, and re-signed by both parties at least every two years. Tennessee also requires the physician to develop clinical guidelines in collaboration with the NP, including a method for documenting consultation and referral. We coordinate all biennial renewals.

Why Tennessee

Tennessee’s Demanding Oversight Structure Drives Premium Per-Physician Compensation Across the Volunteer State

Tennessee is a restricted practice state with no NP independence pathway and some of the most specific ongoing oversight requirements of any state in this series. The supervising physician must be an MD or DO with an active, unencumbered Tennessee license who is “actively practicing” in Tennessee and has experience in the same field of medicine as the NP. A notice containing the physician’s name and the NP’s formulary must be filed with the Tennessee Board of Nursing — and updated within 30 days of any changes.

The combination of biennial protocol review, twice-yearly in-person meetings, 20% monthly chart review, and triggered physician signatures for controlled substance and hospitalized patients makes Tennessee one of the most involved physician supervision states in the series. These same requirements mean qualified, engaged physicians are in high demand — and are compensated at the higher end of the national range.

No ratio cap — Tennessee does not specify a limit on the number of NPs a physician may supervise. The physician determines the appropriate number at the practice level, consistent with good medical practice. This gives Tennessee physicians genuine flexibility to build substantial collaboration income at a premium per-NP rate driven by the state’s demanding oversight standards.

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Tennessee State Requirements

NPs must have a written protocol (Collaborative Practice Agreement) with a supervising physician. Notice filed with TN Board of Nursing containing physician’s name and NP’s formulary; updated within 30 days of any changes. Protocol kept at practice site; provided to Board on request. TCA § 63-7-123; Rules Ch. 1000-4

Physician must be an actively practicing MD or DO with an unencumbered Tennessee license and experience in the same field of medicine as the NP. No proximity requirement specified. No ratio cap — physician determines appropriate number at practice level. TCA § 63-7-123; Rules Ch. 0880-06

Once every ten business days, the physician must personally review historical, physical, and therapeutic data and certify by signature within 30 days for any patient where: a controlled drug was prescribed; there was a hospitalization; or there was a referral to a specialist. Additionally, at least 20% of charts reviewed every 30 business days. Rules Ch. 0880-06-.02(7)

Physician and NP must meet in person at least twice per year to review patient care, practice needs, and evaluate protocols. Written protocol reviewed and updated at least every two years. Physician must develop clinical guidelines in collaboration with NP, including method for documenting consultation and referral. Rules Ch. 0880-06-.02(6); Zivian Health

No independence pathway — permanent supervision required. PAs also require physician supervision under a written supervisory protocol; monthly contact required. Governed by Tennessee Board of Nursing (NPs) and Tennessee Medical Board (physicians/PAs).

Your Role

What a Collaborating Physician Does in Tennessee

Tennessee’s framework is the most structured in the series for ongoing oversight. Your role is specific, scheduled, and well-compensated — we provide documentation systems to keep every requirement organized and audit-ready.

Sign the Written Protocol & File Notice with TN BON

Execute the written protocol with the NP and file notice with the Tennessee Board of Nursing — including your name and the NP’s formulary. Updates must be filed within 30 days of any changes. We handle the TN BON notice filing for every arrangement.

20% Monthly Chart Review

Personally review at least 20% of the NP’s patient charts on at least a 30-business-day cycle. We provide a structured documentation system to track and certify chart reviews — keeping you organized and audit-ready for TN BON inspection.

Physician Signature for Triggered Patient Records

Certify by signature within 30 days for any patient record where a controlled drug was prescribed, there was a hospitalization, or there was a referral to a specialist. This triggered-signature requirement distinguishes Tennessee from most other states in the series.

In-Person Meetings Twice Per Year

Meet with the NP in person at least twice per year to review patient care, discuss practice needs, and evaluate protocols. Tennessee mandates these in-person meetings in its supervision rules. We schedule and document both meetings as part of your ongoing arrangement management.

Biennial Protocol Review & Renewal

Review, update, and re-sign the written protocol at least every two years. We track biennial renewal deadlines, prepare updated protocol documents, and coordinate the renewal cycle — ensuring your Tennessee arrangements are always current.

Earn Premium Income

Tennessee’s demanding oversight requirements drive per-physician compensation among the highest in the South. With no ratio cap and a permanent supervision requirement across one of the South’s largest NP and PA workforces, Tennessee offers substantial, long-term collaboration income for actively engaged physicians.

Simple Process

Get Started in 3 Simple Steps

Many physicians in our network are matched and onboarded within 24 to 48 hours.

1

Apply

Submit your credentials, Tennessee medical license number, and same-field specialty. It takes less than 2 minutes. We verify your active, unencumbered TN license before matching.

2

Get Matched

We connect you with Tennessee NPs and PA practices across Nashville, Memphis, Knoxville, Chattanooga, Clarksville, and statewide — matched by same field of medicine.

3

Start Collaborating

Begin with a fully compliant Tennessee written protocol — TN BON notice filed, formulary documented, chart review system in place, and biennial renewal tracking from day one.

Our Difference

A Smarter Way to Work as a Tennessee Collaborating Physician

Tennessee’s TN BON notice requirement, same-field-of-medicine standard, 20% monthly chart review, triggered signature requirements, twice-yearly in-person meetings, and biennial protocol renewal all need organized, ongoing management. We handle every layer.

We handle TN BON notice filing

We file the required notice with the Tennessee Board of Nursing containing your name and the NP’s formulary — and update it within 30 days whenever changes occur, so you’re never out of compliance.

Start within 24–48 hours

Many Tennessee physicians in our network are matched and onboarded within 24 to 48 hours.

TCA § 63-7-123-compliant protocols

Our written protocols meet Tennessee Board of Nursing and Tennessee Medical Board requirements — including scope of practice, prescriptive authority protocols, formulary, and all required supervision provisions.

Monthly chart review documentation system

We provide a structured framework for Tennessee’s 20% monthly chart review and triggered-signature requirements — keeping you organized and audit-ready for TN BON inspection at all times.

In-person meeting scheduling & documentation

We coordinate and document both mandatory in-person meetings per year — scheduling, agenda preparation, and meeting records kept on file at the practice site as required by Tennessee supervision rules.

Biennial renewal tracking

We track every protocol’s 2-year renewal cycle and coordinate the review, update, and re-signing process — ensuring you’re never practicing on an expired or lapsed written protocol.

Tennessee Clinics

Tennessee Clinic Types We Work With

Every Tennessee NP needs a physician supervisor — permanently. From Nashville’s booming medspa and aesthetics corridor to Memphis’ healthcare hub and Knoxville’s East Tennessee market.

💆Medical Spas
⚖️Weight Loss Centers
💉IV Hydration
💻Telehealth Platforms
🏥Primary Care
🧠Psychiatry Practices
Specialty Clinics
🩺Wellness Centers
Is This For You?

This Opportunity Is Ideal For

🏅

Physicians with an active, unencumbered Tennessee medical license who are actively practicing in the state

🎯

Physicians with experience in the same field of medicine as the NP’s practice area

💰

Those seeking premium per-physician income from Tennessee’s high-oversight, permanent supervision market

📋

Physicians committed to structured chart review, triggered signature documentation, and biennial protocol management

Your Tennessee medical license must be active and unencumbered, and you must be actively practicing in the state. You must have experience in the same field of medicine as the NP. No proximity requirement and no ratio cap — Tennessee gives physicians flexibility in how many NPs they supervise while setting clear, specific standards for how that supervision must be conducted.

Collaborating Physician Jobs in Tennessee

Tennessee Collaborating Physician Jobs — Permanent NP Demand Across Nashville, Memphis, Knoxville, and the Volunteer State

Tennessee has no NP independence pathway — every APRN needs a collaborating physician permanently under the Tennessee Board of Nursing framework. With monthly chart review (20% every 30 business days), biannual in-person meetings, no ratio cap, and no proximity requirement, Tennessee creates a large, structured market for collaborating physician jobs, part time physician jobs, and remote physician jobs across Nashville, Memphis, Knoxville, Chattanooga, and the Volunteer State’s extensive rural communities. Tennessee’s structured oversight requirements justify above-average per-arrangement compensation while remaining manageable as supplemental income.

Remote Physician Jobs — No Proximity, Monthly Chart Review Remote-Eligible

Tennessee imposes no geographic proximity requirement for collaborating physicians. The 20% monthly chart review and the biannual in-person meeting requirements define the physician’s obligations — but both can be structured to minimize on-site burden: the biannual meetings are in-person by statute, but chart review and consultation availability are fully remote. For physicians seeking remote physician jobs with structured but manageable obligations, Tennessee’s framework delivers consistent, well-compensated income with clearly defined touchpoints.

Part Time Physician Jobs — Permanent Demand, No Ratio Cap

Tennessee has no ratio cap on the number of APRNs a physician may collaborate with simultaneously. Every Tennessee APRN needs a physician collaborator permanently — there is no independence pathway. This creates a large, durable pool of part time physician jobs across the Volunteer State’s major healthcare markets. Physicians can scale their portfolio across multiple concurrent arrangements, with each contributing stable, long-term income.

Physician Consulting Jobs — Nashville and Knoxville Medspa Corridors

Nashville’s 12 South, Green Hills, and Brentwood wellness markets and Knoxville’s West Town and Farragut health districts generate consistent demand for physician consulting jobs beyond standard APRN collaboration income. NP-operated medspas, GLP-1 weight loss clinics, and telehealth platforms across Tennessee seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — typically structured as retainer engagements alongside APRN collaboration income.

Physician Advisor Roles — Memphis and Chattanooga Markets

Memphis’s East Memphis and Germantown wellness corridors and Chattanooga’s North Shore and Signal Mountain districts generate demand for physician advisor jobs at NP and PA-led practices. Physician advisor roles at Tennessee clinics are structured at the practice level — covering QA governance, payer credentialing, and protocol oversight alongside or separate from the formal APRN collaboration agreement — and are available as remote physician advisor jobs for Tennessee-licensed physicians statewide.

CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Tennessee and matches physicians with APRN practices within 24 to 48 hours. Whether you are looking for remote physician jobs in Nashville or Memphis, part time physician jobs across Knoxville and Chattanooga, or remote physician advisor jobs with Tennessee-based telehealth platforms, we structure collaboration agreements to meet TN BON and Tennessee Board of Medical Examiners requirements, schedule and document biannual in-person meetings, coordinate 20% monthly chart review documentation, and manage every arrangement throughout.

FAQ

Frequently Asked Questions — Tennessee

Is physician supervision permanently required for Tennessee NPs?
Yes. Tennessee is a restricted practice state with no hours-based or experience-based pathway to independent NP practice. Every NP in Tennessee must have a written protocol (Collaborative Practice Agreement) with a supervising physician for the duration of their practice in Tennessee. There is no mechanism under current Tennessee law for an NP to prescribe or practice without an active, valid written protocol in place.
What is the 20% chart review requirement in Tennessee?
Under Tennessee Board of Medical Examiners Rules Chapter 0880-06-.02(7), the supervising physician must personally review historical, physical, and therapeutic data on at least a 30-business-day cycle, covering at least 20% of the NP’s patient charts. This is one of the most specific and frequent chart review mandates of any state in this series — most states with chart review requirements specify quarterly or annual review. Tennessee’s 30-day cycle applies to the general chart review; additional triggered reviews are required for specific patients.
What are the “triggered” physician signature requirements in Tennessee?
Beyond the 20% standard monthly review, Tennessee Rules Chapter 0880-06-.02(7) requires the supervising physician to personally review data and certify by signature within 30 days for any patient where: (1) a controlled drug was prescribed by the NP; (2) the patient was hospitalized; or (3) the patient was referred to a specialist. These triggers apply to every patient meeting those criteria — not a sample percentage — making them a more specific obligation than the general 20% review. We provide a tracking framework to identify and document all triggered patients.
Why are in-person meetings required in Tennessee?
Tennessee’s supervision rules require the physician and NP to meet in person at least twice per year to review patient care, discuss practice needs, and evaluate protocols. This in-person meeting requirement is one of only a handful mandated by statute across all states in this series. The meetings are distinct from the chart review cycle — they are focused on protocol evaluation, practice quality, and the overall collaborative relationship. We schedule both meetings annually, prepare documentation templates, and ensure meeting records are kept on file at the practice site as required.
Is there a ratio cap or proximity requirement in Tennessee?
No to both. Tennessee does not specify a limit on the number of NPs a physician may supervise. The Tennessee Board of Medical Examiners states that the number of PAs and APRNs a physician may supervise “should be determined by the physician at the practice level, consistent with good medical practice.” Tennessee also has no geographic proximity requirement specified in statute — there is no mileage or travel time mandate. However, the physician must be actively practicing in Tennessee and must be reachable for consultation.
Do Tennessee PAs also need a collaborating physician?
Yes. Tennessee PAs require physician supervision under a written supervisory protocol. The same-field-of-medicine requirement applies. Monthly contact is required between the PA and supervising physician. The supervisory protocol must be kept at the PA’s practice site and is available for Board inspection. Both NPs and PAs create physician collaboration demand in Tennessee, and we facilitate both types of arrangements across the state.
What types of part time physician jobs and physician side jobs are available in Tennessee?
Tennessee APRN collaboration and PA supervisory agreement roles are the core physician side job categories — permanent, no-ratio-cap, remote-eligible (with defined in-person biannual meeting obligations). Beyond standard collaboration income, Tennessee generates demand for physician advisor jobs at APRN and PA-led medspa and wellness practices across Nashville and Knoxville, physician consulting jobs for protocol development and payer credentialing, and remote physician advisor jobs with Tennessee-based telehealth platforms. All are bounded supplemental physician side jobs that generate income alongside a primary clinical practice.
Are Tennessee remote physician jobs genuinely remote — and what does the biannual meeting requirement involve?
Largely yes, with the biannual meeting obligation as the one structured in-person touchpoint. Tennessee’s APRN collaboration framework requires twice-yearly in-person meetings between the collaborating physician and the APRN. Beyond those two meetings per year, chart review (20% monthly) and consultation availability are managed entirely remotely. For physicians holding multiple Tennessee collaborating physician jobs, the biannual meetings can typically be scheduled efficiently with minimal travel burden. Remote physician advisor jobs at Tennessee NP and PA clinics in a purely advisory capacity — outside the formal collaboration agreement — are fully remote with no TN BON filing obligation.

Start Building Premium Income as a Tennessee Collaborating Physician

Tennessee NPs and PAs need actively supervising physician partners — permanently, with no independence pathway. The state’s structured oversight requirements drive per-physician compensation among the highest in the South. We connect you, file with TN BON, manage chart review cycles, schedule in-person meetings, and coordinate biennial renewals throughout.

Apply Now — Takes Less Than 2 Minutes

Or call us at +1 (817) 857-2726 to get started today.

Serving physicians and clinics across Tennessee, including Nashville, Memphis, Knoxville, Chattanooga, Clarksville, Murfreesboro, Franklin, Jackson, Johnson City, Bartlett, Hendersonville, Kingsport, Collierville, Smyrna, Cleveland, Brentwood, Germantown, Columbia, Spring Hill, La Vergne, and surrounding communities statewide.

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