Psychiatric 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 Psychiatric Nurse Practitioner is a licensed Nurse Practitioner certified in Psychiatric Mental Health Nursing, who leads the behavioral health aspects of virtual care for individuals with serious mental illness (SMI) that firsthand serves. At firsthand, our NPs are referred to as Health Guides (HGs), as they are dedicated, compassionate advocates, leading our individuals on a journey towards wellbeing and recovery.

• Perform medical and behavioral health assessments.
• Provide exemplary customer service to individuals with SMI and maintain an NPS score of 90% or higher.
• Commit to reducing avoidable Psychiatric ER visits through timely evaluation and interaction with individuals.
• Assess behavioral health and medical conditions with thorough history and virtual physical examination.
• Conduct suicide stabilization, diagnosis, and stabilization of bipolar, schizoaffective, and schizophrenia in a fully remote environment with in-person peer recovery support.
• Diagnose psychiatric disorders and mental health conditions.
• Document patient medical and psychological histories, mental status exams, diagnoses, treatment plans, prescriptions, and outcomes.
• Educate patients and family members about mental health, medications, and treatment plans.
• Prescribe and monitor psychotropic medications, abiding by laws and regulations.
• Manage and monitor for metabolic syndrome and other comorbidities.
• Collaborate with a team of licensed and non-licensed professionals.
• Ensure continuity of care, referring to community primary and behavioral health providers and specialists based on needs.
• Support individuals in developing and exercising self‑management skills and person‑centered care around the individual’s goals via motivational interviewing and holistic care planning.

• Conduct highly detailed intake visits on patient’s behavioral health history and impact on ability to work.
• Organize information to support appropriate clinical documentation and successful disability applications (if appropriate).

• Lead by example in maintaining above‑average visit productivity levels.
• Display a positive attitude and team‑player mentality within the team.
• Support new hire onboarding, shadowing, and other responsibilities assigned by the Director of Shared Clinical Services.
• Mentor Primary Care/Psychiatric Nurse Practitioners or Triage Nurses, without hiring or personnel‑management responsibilities.
• Assist with developing and implementing new Primary Care/Psychiatric Nurse Practitioner interventions and work processes.
• Train and coach Health Guides and Flex Health Guides on diagnosis and management of psychiatric disorders.

• Intrinsic motivation to be a top performer in visit productivity and patient outcomes.
• Tenacious self‑starter and independent thinker.
• Above‑average comfort with technology, as this is a 100% remote position.
• Natural ability to adapt to various assignments and changing goals.
• Empathy, compassion, and approachability.
• Excellent listening, communication, and interpersonal skills.
• Ability to maintain professional…