Part Time Nurse Practitioner

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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. This is a part‑time role, estimated at working about 8‑14 hours/week. This role is not benefits eligible.

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 psychiatric registered nurses, primary care nurse practitioners, and psychiatric nurse practitioners.

• Work at least three days per week of in‑office or home care
• Assess both behavioral and physical health conditions with a thorough history and in‑person physical examination
• Capture 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
• Collaborate regularly with certified peer recovery specialists (firsthand Guides) on individualized recovery plans
• Make individualized recommendations and/or referrals for programs/care provided by firsthand and/or outside providers, based on the assessed need
• Support 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
• Organize 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)

$75—$75 USD

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 begin getting…