Nurse Practitioner

Centralized Health Guide

Firsthand supports individuals living with serious mental illness (SMI). Our holistic approach includes peer recovery specialists, benefits specialists, and clinicians who meet individuals where they are and walk with them side by side as trusted guides and partners on their journey to better health.

Our team members use their lived experience to build trust, reconnect clients to needed healthcare, and minimize inappropriate utilization. Together with health‑plan partners, we are changing how society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem‑solvers to tackle significant and complex healthcare challenges. This is more than a job—it is a calling. Every day you will engage in meaningful work, learn from dedicated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

• Assess both behavioral and physical health conditions with thorough history and virtual physical examination
• Treat conditions, including prescribing medications on an ongoing and short-term basis
• Capture undiagnosed conditions, order additional studies where indicated to confirm or rule out a diagnosis
• Collaborate with support staff including medical records and clinical documentation specialists, certified coders, and medical assistants
• Make individualized recommendations and/or referrals for programs or care provided by firsthand or outside providers based on assessed need
• Support individuals in developing and exercising self‑management skills and person‑centered care around their goals via motivational interviewing and holistic care planning
• Organize information to support appropriate clinical documentation and successful disability applications when appropriate

• Provide exemplary customer service to individuals with SMI while maintaining an NPS score of 90% or higher
• Commit to reducing ER visits within 7 days of interaction
• Provide urgent‑care treatment for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, cold and flu symptoms, UTI, pain, anxiety, depression, and suicidal ideation
• Conduct transition of care visits within 7 days of discharge from ER or hospitalization

• Lead individual progress reviews in partnership with firsthand guides
• Assist in implementing new interventions and work processes

• Passion for serving individuals suffering from mental illness
• Positive attitude and team player mentality
• Intrinsic motivation to be a top performer
• Above-average comfort with technology
• Desire to perform data‑driven care
• Natural ability to adapt to various assignments and moving‑target goals
• Empathy, compassion, and approachability
• Excellent listening, communication, and interpersonal skills
• Ability to maintain professional boundaries and engagement skills with a population with challenges and in non‑traditional work conditions
• Willingness to become certified in psychiatric nursing (at the RN level)
• Licensed in FL, MI, OH, VA, or WA, or willingness to obtain a license in one of those states

• 3+ years clinical care as a Nurse Practitioner, ideally in a primary care setting or emergency department
• Experience working with and managing populations with behavioral health and/or SUD conditions
• Experience in care management and coordination
• Psychographic RN certification (optional, willingness to become certified)

$142,500 USD

A range of healthcare benefits offerings for yourself and/or your family.

401(k) with employer matching program.

Competitive and flexible paid time off policies.

Choice of Mac or PC for laptop or tablet as needed.

16 weeks parental leave for either parent.

15 days per year vacation in the first year (increases to 20 days per year in the second year and beyond).

Supportive and inclusive culture.

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to, evidence of vaccination for or immunity to COVID‑19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees are required to receive these vaccinations on a cadence/frequency advised by the CDC, unless otherwise prohibited by state law. New hires may submit requests for exemption based on a valid religious or medical reason via forms provided.

Such requests will be reviewed and approved by the Company and will be granted only if the Company can provide a reasonable accommodation.

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

We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway—we look forward to getting to know you.