Health Guide (Nurse Practitioner)

firsthand is changing the way individuals living with Serious Mental Illness (SMI) get care – by putting them at the center of everything we do. Our peer led model aims to build trust with these individuals, many of whom have been underserved, stigmatized, deprioritized and have very often lost trust in the systems intended to serve them. Our holistic approach includes partnering with our team of peer recovery specialists, licensed social workers and nurse practitioners, and focuses on meeting them where they are and walking with them side by side, as a trusted guide, partner, and first call, on their journeys’ to wellness. 

Our aim is to not only improve lives, but also improve the economics for managed care plans and states responsible for providing care to this community. 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 building a team of deeply passionate problem-solvers who are courageous enough to take on one of the country’s most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a  supportive culture that prioritizes learning, creativity, and fun.

The Health Guide is a licensed Nurse Practitioner or Physician Assistant who leads the medical aspects of team-based care for individuals with serious mental illness that firsthand serves. The Health Guide is responsible for whole person assessment and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of firsthand Guides (peers) and Community Resources Guides (social services personnel).

The Health Guide assists other members of the firsthand Care Team such as the firsthand Guide (peer specialist) in supporting individuals achieving recovery, and the Community Resources Guide in meeting SDOH needs and with disability applications.

• Assessing both behavioral and physical health conditions with a thorough history and physical examination; Capturing conditions not yet diagnosed, ordering additional studies where indicated to confirm or rule out the diagnosis
• Collaborating with a team of support including medical records and clinical documentation specialists, certified coders, and medical assistants
• Conducting visits in the in the office, virtually, in the field, or in an individual’s home when needed
• Making individualized recommendations and/or referrals for programs/care provided by firsthand and/or outside providers, based on the assessed need
• Supporting 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
• Organizing the information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate)

• Training and advising roles like Medical Assistants, and Peer Recovery Specialists on behavioral, clinical, and social health priorities
• Supporting Guide Team on care coordination
• Leading care and disease management - identifying actionable care gaps 
• Communicating and coordinating with individuals’ care providers, primarily at CMHCs, FQHCs, and hospitals 
• Providing direct patient care when needs cannot be met by existing community providers
• Perform in-home and in-clinic phlebotomy as needed

• Assist firsthand Guides (peer specialists) with engagement and recovery support
• Assist Community Resources Guides with addressing SDOH and disability applications

• Excellent clinical acumen in outpatient chronic disease and behavioral health care
• Empathy, compassion, and approachability 
• Excellent listening, communication, and interpersonal skills
• Desire to help people in need and support their path to wellness
• Comfort working as part of a multidisciplinary team, and enjoy mixed roles and duties - this is a mix of direct service, teaching, and care management
• Cultural humility, knowledge of trauma informed care, and social determinants of health
• Desire to perform data driven care
• Familiarity with local providers
• Ability to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditions
• Intermediate computer and typing proficiency - experience with Electronic Health Records, familiarity with Google Suite a plus
• Ability to operate a vehicle, including a driver’s license that is active and in good standing; must be eligible to drive under Company insurance policy 

• 5+ years clinical care as a Nurse Practitioner or Physician Assistant, ideally in a primary care setting
• Working with and managing a population with challenges such as behavioral health and/or SUD conditions
• Developing and delivering educational programs to nurses and affiliated medical staff
• Care management and coordination 

Benefits 

For full-time employees, our compensation package includes base, equity 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 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.