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

firsthand's team members use their lived experience to build trust with these individuals and support them in obtaining socio-economic assistance and in reconnecting to primary and behavioral care. Support like this creates substantial savings for managed care organizations (Medicaid providers) and taxpayers by decreasing inappropriate healthcare utilization. This enables us to build solutions that scale and, as a result, change 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 Dual Certified Primary Care/Psychiatric Nurse Practitioner is a licensed Nurse Practitioner certified in Primary Care and 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.

The Dual Certified HG is responsible for virtual behavioral health assessments, management of our vulnerable population, and collaborating closely with community providers. The Dual Certified HG serves as a key member of the shared clinical services team which includes triage and care coordination nurses (TCCNs) and nurse practitioners (HG flex).

As a Dual Certified Primary Care/Psychiatric HG, you will: perform medical and behavioral health assessments, including:

• Diagnosing psychiatric disorders and mental health conditions
• Performs virtual SOAR (SSDI/SSI Outreach Access and Recovery) disability assessments
• Providing exemplary customer service to individuals with SMI and maintain a NPS score of 90% or higher
• Commitment to reducing avoidable Psychiatric ER visits through timely evaluation and interaction with individuals
• Assessing behavioral health and medical conditions with a thorough history and virtual physical examination
• Diagnosing psychiatric disorders and mental health conditions
• Documenting patients’ medical and psychological histories, mental status exams, diagnoses, treatment plans, prescriptions, and outcomes
• Educating patients and family members about mental health, medications, and treatment plans
• Prescribing and monitoring prescribed prescriptions for psychotropic medications, abiding by laws and regulations
• Managing and monitoring for metabolic syndrome and/or other comorbidities 
• Ensuring continuity of care, referring to community primary and behavioral health providers and specialists based on assessed needs

You will be a good fit if you have:

• Intrinsic motivation to be a top performer in visit productivity and patient outcomes
• A tenacious and independent work ethic and thrive on white space/self-starting
• Above average comfort with technology and navigating multiple systems, as this is a 100% remote position
• 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
• Strong background in the diagnosis of psychiatric disorders and psychopharmacological treatments and familiarity with non-pharmacological interventions
• Excellent verbal and written communication, organizational, and time management skills

The required experience you bring to this role includes:

• Dual certification as a Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner
• 2+ years clinical care as a dual certified Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner.
• 1+ years telehealth experience 
• Strong background in the diagnosis of psychiatric disorders and psychopharmacological treatments and familiarity with non-pharmacological interventions
• Excellent verbal and written communication, organizational, and time management skills

Benefits 

For full-time employees, our compensation package includes base, equity (or special incentive program for clinical roles) and a bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, flexible vacation, and a supportive and inclusive culture.

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

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.