Part Time Nurse Practitioner

firsthand; Richmond; On-site; GBP 60,000 - 80,000; Part time

Job summary

A healthcare organization in Richmond seeks a part-time Local Health Guide to provide in-person care for individuals with serious mental illness. This role emphasizes primary and urgent care, requiring a Nurse Practitioner with at least 1 year of experience. Candidates should be adaptable, empathetic, and skilled in collaboration. Compensation is $75 per hour.

Qualifications

• 1+ years clinical care as a Nurse Practitioner, ideally in a home or community primary care setting.
• Able to prescribe medications for behavioral health conditions.
• Proficiency with technology for documentation or coordination of care.

Responsibilities

• Conduct in-person assessments and provide primary and urgent care.
• Collaborate with peer recovery specialists on recovery plans.
• Support self-management skills and person-centered care.

Skills

In-person care

Communication

Empathy

Adaptability

Education

Clinical care as a Nurse Practitioner

Tools

Electronic health record software

Job description

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 20 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 including behavioral health providers, as well as an internal team of peer recovery specialists, psychiatric registered nurses, primary care nurse practitioners, and psychiatric nurse practitioners.

As a Local Health Guide, you will provide the following:

• Work at least three days per week of in‑office or home care
• Assess behavioral and physical health conditions with a thorough history and in‑person physical examination
• Capture conditions not yet diagnosed, order 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 (first‑hand Guides) on individualized recovery plans as part of an interdisciplinary care team
• Make individualized recommendations and/or referrals for programs/care provided by firsthand and/or outside providers, based on 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 to support appropriate clinical documentation and successful disability applications (if appropriate)

You will be a good fit if you have:

• 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

The experience you bring to this role includes:

• 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 antipsychoticsWorking 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 head or care management software, direct messaging)

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 to know you.

$75 - $75 an hour

Benefits

For full‑time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.

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.

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