Nurse Practitioner Clinical Manager - Primary Care & Psychiatry

firsthand supports individuals living with serious mental illness (SMI). Our holistic approach includes a team of peer recovery specialists, benefits specialists, and clinicians. We 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. Our team members use their lived experience to build trust and support reconnection 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.

As a Clinical Manager, you will play a critical role in launching and supporting firsthand’s clinical model across Washington markets. Your time will be split between providing oversight to clinical team members and delivering direct care as needed. Preference will be given to candidates who live in the market, but it is not required.

This position requires primary‑care APRN certification and psychiatric nursing certification at the RN or APRN level. Registered nurses without an APRN certification will not qualify.

The Clinical Manager will report to Clinical Delivery and work closely with virtual/local clinicians, support leaders, community leaders, and teams to manage and improve performance and the quality of care provided by virtual and local health guides. This role will act as the clinical dyad partner to market operations colleagues to ensure productivity and quality of the clinical care delivered by Health Guides in collaboration with the firsthand Guides.

• Supervise and support a team of virtual and local nurse practitioners through chart reviews, one‑on‑one meetings, and performance coaching.
• Oversee virtual and local health guides in reviewing charts and meeting regularly with each direct report.
• Collaborate with cross‑functional colleagues to drive clinical quality, care coordination, and process improvement initiatives.
• Ensure strong execution of firsthand’s clinical model services and operational goals.
• Support a strong clinical and operations dyad partnership by meeting regularly with State Directors and Managers to lead, motivate, and inspire community teams.
• Communicate and coordinate with community team leaders regarding Health Guide, Triage Nurse, and Psychiatric services.
• Work closely with firsthand’s Support team to develop and improve care delivery, clinical quality improvement processes, and outcomes that align with the clinical model and strategies.
• Provide part‑time direct clinical care as appropriate, based on direct reports, non‑clinical responsibilities, and market needs.

• Excellent clinical acumen in outpatient chronic disease and mental health care.
• Exceptional interpersonal and communication skills, especially in collaborating with clinicians, support leaders, and strategic partners.
• Strong management and supervisory skills, including organizing and leading initiatives across multiple teams.
• Empathy, compassion, and approachability.
• Desire to help people in need and support their path to wellness.
• Comfortable with conducting home/community visits and assessments if needed.
• Comfort working as part of a multidisciplinary team and enjoys mixed roles and duties.
• Cultural humility, knowledge of trauma‑informed care, and understanding of social determinants of health.
• Desire to implement and deliver data‑driven care that is integrated across chronic medical conditions, behavioral health conditions, inpatient settings, and outpatient settings.
• Adapt quickly to variations in team culture and process.
• Ability to rapidly develop new professional working relationships with colleagues and patients.
• Flexibility and willingness/ability to travel (25%).

• FNP, AGNP, or AGPCNP certification.
• Certified in psychiatric nursing at the RN or APRN level.
• At least 5 years of clinical care in a primary or emergency care setting.
• Prior clinical operational leadership experience, including directly supervising clinicians.
• Experience working with and managing a population with behavioral health and/or SUD conditions.
• Experience working as part of an interprofessional or…