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TNTENNESSEE
HR consulting for behavioral health · Tennessee

HR built for Tennessee behavioral health

“I lose nearly half my direct support staff every year, and the 0940 rules that changed in May rewrote what my personnel files have to prove.”

That is the Tennessee reality right now. We stop the churn and re-paper the files the state now asks for.

Send my details instead
Credits toward any TWF Signature Program. We answer within 2 hours.
Built only for health and human servicesSHRM-certified leadershipEEOC administrative law judge on our counsel bench18-month placement guarantee
The numbers your state publishes

Three facts about working in Tennessee

Every figure below comes from a Tennessee state document or a federal dataset the state itself cites. Follow the link and read it yourself.

48%
caregiver and DSP turnover statewide in calendar year 2024
Tennessee LTSS Workforce Quality Improvement Survey, Year Seven Report, Institute on Community Integration for TennCare. Read the source
12%
caregiver and DSP vacancy rate in the same survey year
Tennessee LTSS Workforce Quality Improvement Survey, Year Seven Report. Read the source
$23M
of caregiver overtime paid in one year across reporting organizations
Tennessee LTSS Workforce Quality Improvement Survey, Year Seven Report, 2,959,455 overtime hours. Read the source
Not our words. Theirs.

What your regulator actually wrote

We read the rule text, the provider manuals, and the bulletins so you do not have to. Each quote below is copied from the primary document and linked to it.

“
An employee on either the Abuse Registry or Sexual Offender Registry is ineligible to remain employed by or work as a volunteer or independent contractor with the licensee in any capacity.
Tennessee Department of Mental Health and Substance Abuse ServicesRule 0940-05-06-.04, Minimum Program Requirements for All Services and Facilities, Effective May 25, 2026
Read the source document →
“
This description shall include whether this employee will be designated as an employee who can be assigned as an employee to assist individuals not capable of self-preservation.
Tennessee Department of Mental Health and Substance Abuse ServicesRule 0940-05-06-.04, job description requirements, Effective May 25, 2026
Read the source document →
“
Facilities shall implement drug screenings for all persons providing direct services on behalf of the Facility regardless of whether persons are employed, contracted, or volunteering.
Tennessee Department of Mental Health and Substance Abuse ServicesRule 0940-05-35-.20, Nonresidential Office-Based Opiate Treatment Facilities, Effective September 25, 2025
Read the source document →
Problem, proof, program

What we would fix first in Tennessee

Three problems we hear from Tennessee operators, the published evidence behind each one, and the program we run against it.

The problem
“Almost half my direct support staff leave every year and overtime is eating the budget.”
The evidence
The TennCare commissioned LTSS survey reported 48 percent turnover, a 12 percent vacancy rate, and $23.1 million in caregiver overtime for calendar year 2024.
The program
Retention Reset →
What you get
Turnover analysis, stay interview systems, and compensation benchmarking aimed at the exit points that actually drive the number.
The problem
“The 0940 rules changed in May and every job description is now wrong.”
The evidence
TDMHSAS rewrote Chapter 0940-05-06 effective May 25, 2026, adding registry disqualification for contractors and volunteers and new job description language.
The program
Compliance Confidence →
What you get
Job descriptions, registry checks, and personnel files rebuilt to the current rule text, reviewed by credentialed HR leadership.
The problem
“I cannot keep a counselor caseload legal when I cannot hire counselors.”
The evidence
Rule 0940-05-42-.14 caps opioid treatment counseling caseloads at one qualified counseling provider per fifty service recipients.
The program
PlacementCare →
What you get
Direct-hire recruiting for clinical and counseling roles, backed by our 18-month placement guarantee.
Retention Reset is where most Tennessee engagements start →
$1,750

Start with the Workup

A full diagnostic of your workforce across eight dimensions, scored and mapped, with the gaps ranked. It credits toward any TWF Signature Program.

Ninety minute assessment across eight dimensions
A written risk map and Workforce Health Score
Program recommendations matched to your gaps
The full $1,750 credits forward if you engage
Send my details instead
Canonical pricing is published on our pricing page. We answer within 2 hours.
Who we serve in Tennessee

Built for the organizations others find too complex

Behavioral health and mental health clinicsIDD and developmental disability providersSubstance use and addiction treatmentCertified Community Behavioral Health ClinicsCommunity health organizationsResidential and group homesNonprofit human services agencies
18 months
Every direct placement is backed for 18 months. If they leave, we replace them.
The bench
A former EEOC administrative law judge and practicing employment counsel sit on our advisory bench.
2 hours
We respond to new inquiries within 2 hours.
Open data
We publish workforce data for 24 Southeast metros. Cite us. Most firms gate everything.
Questions Tennessee operators ask

Straight answers

Do you know the 0940 licensure rules?

Yes. We build to the current TDMHSAS Chapter 0940 rules, including the 0940-05-06 minimum program requirements effective May 25, 2026, and the opioid treatment and office based treatment chapters effective in September 2025.

Where does your Tennessee turnover figure come from?

The Tennessee LTSS Workforce Quality Improvement Survey, Year Seven Report, prepared by the Institute on Community Integration for TennCare and the managed care organizations. It reports 48 percent caregiver turnover for calendar year 2024.

How fast do you respond?

We respond to new inquiries within 2 hours.

What does the first step cost?

The Workup diagnostic starts at $1,750 and credits toward any TWF Signature Program.

Metro pages: Atlanta · Charlotte · Raleigh · Durham · Greenville NC · Nashville · Richmond · Jacksonville · Birmingham. Open workforce data for 24 metros lives at our public dataset.

Looking for your next role in behavioral health?
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Industry Recognized

Sector-Specialized. Enterprise-Certified.

Certified HR Team
Team includes PHR-certified and licensed clinical professionals
HIPAA Compliant
Healthcare Data Standards Met
CARF / Joint Commission
Accreditation-Aligned Deliverables
Medicaid Billing Aligned
Federal & State Compliance Standards
Other states we serve
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Recruiting in Nashville