Nurse Practitioner

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.

firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

The Local Health Guide is a licensed Nurse Practitioner who provides primary and urgent care in-person care (home, street, office setting) for individuals with serious mental illness that firsthand serves.

The Local Health Guide is responsible for in-person whole person assessments, chronic care follow-up, and urgent care for our vulnerable population, collaborating closely with specialists including behavioral health providers, as well as an internal team of peer recovery specialists, psychiatric registered nurses, primary care nurse practitioners, and psychiatric nurse practitioners.

• Assessing both behavioral and physical health conditions with a thorough history and in-person physical examination
• Capturing conditions not yet diagnosed, ordering additional studies where indicated to confirm or rule out the diagnosis
• Provide primary and urgent-care treatment to minimize preventable ER visits for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, Cold and Flu Symptoms, UTI, pain, anxiety, depression, and suicidal ideation
• As part of an interdisciplinary care team, collaborate regularly with certified peer recovery specialists (firsthand Guides) on individualized recovery plans
• Making individualized recommendations and/or referrals for programs/care provided by firsthand and/or outside providers, based on the assessed need
• Supporting individuals in developing and exercising self management skills and person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning
• Organizing clinical  information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate)

• Passion for in-person care
• High comfort level for home and community-based visits
• An interest in or experience working on interdisciplinary teams
• Natural ability to adapt to various assignments and dynamic goals
• Empathy, compassion, and approachability Excellent listening, communication, and interpersonal skills
• Ability to maintain professional boundaries  in non-traditional work conditions and use engagement skills with a population with challenges in trusting health care providers

• 1+ years clinical care as a Nurse Practitioner, ideally in a home or community primary care setting, or emergency department
• Able to prescribe medications for behavioral health conditions including antipsychotics
• Working with and managing a population with challenges such as behavioral health and/or SUD conditions
• Care management and coordination 
• Proficiency and ease with use of technology for documentation or coordination of care (e.g. electronic health or care management software, direct messaging)

Benefits 

For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.

Unfortunately, we are not able to offer sponsorship at this time.