Nurse Practitioner

firsthand Health; Washington; Hybrid; USD 135,000 - 165,000; Full time

Benefits offered by this job

Healthcare benefits

401(k) matching

Flexible paid time off

Choice of Mac or PC

Job summary

firsthand Health in Washington is seeking a Health Guide to support individuals with serious mental illnesses through clinical assessments. You will collaborate with a team to provide comprehensive care and ensure a high standard of service delivery.

The ideal candidate will have strong interpersonal skills, a commitment to mental health advocacy, and the ability to work both independently and as part of a dynamic team. This role offers competitive benefits and a focused mission to improve healthcare outcomes.

Qualifications

• Passion for serving individuals suffering from mental illness.
• Willingness to work in non-traditional work conditions.
• Ability to maintain professional boundaries.

Responsibilities

• Perform virtual clinical assessments and provide care.
• Support individuals in navigating self-management responsibilities.
• Lead meetings and reviews with health guides.

Skills

Empathy

Communication

Technology comfort

Team player mentality

Listening skills

Education

Licenses in FL, MI, OH, VA, WA or willingness to get licensed

Certification in psychiatric nursing (on the RN level)

Job description

firsthand supports individuals living with 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.

Centralized Health Guide Responsibilities

Perform a virtual whole-person clinical assessment, including:

• Assessing both behavioral and physical health conditions with a thorough history and virtual physical examination
• Treating conditions including prescribing medications on an ongoing and short-term basis
• 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
• 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)

Perform virtual unscheduled care assessments and transition of care, including:

• Providing exemplary customer service to individuals with SMI and maintain a NPS score of 90% or higher
• Commitment to reducing ER visits within 7 days of your interaction with an individual
• Providing urgent‑care treatment for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, cold and flu symptoms, UTI, pain, anxiety, depression, and SI
• Transition of care visits for individuals within 7 days of discharge from ER/hospitalization

Provide guidance and support to in‑person health guides and firsthand guides, including:

• Leading individual progress reviews in partnership with firsthand guides
• Assisting with implementing new interventions and work processes

Qualifications

• Passion for serving individuals suffering from mental illness
• Display a positive attitude and team‑player mentality within the team
• Intrinsic motivation to be a top performer
• Above average comfort with technology
• Natural ability to adapt to various assignments and moving target goals
• Empathy, compassion, and approachability
• Excellent listening, communication, and interpersonal skills
• Ability to maintain professional boundaries and engagement skills with a population with challenges and in non‑traditional work conditions
• Willingness to become certified in psychiatric nursing (on the RN level)
• Licenses in FL, MI, OH, VA, WA or willingness to get licensed in these states

Experience

• 3+ years clinical care as a Nurse Practitioner, ideally in a primary care setting or emergency department
• Working with and managing a population with challenges such as behavioral health and/or SUD conditions
• Care management and coordination
• Psych RN cert (optional, willingness to become certified)

Benefits

• A range of healthcare benefits offerings for yourself and/or your family
• 401(k) with employer matching program
• Competitive and flexible paid time off policies
• Choice of Mac or PC for laptop or tablet as needed
• 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 (increasing to 20 days/year in your second year and beyond), and a supportive and inclusive culture

Base salary range: $150,000 – $150,000 USD

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 beginning getting to know you.

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

We do not discriminate on the basis of any protected group status under any applicable law.

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.

firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.