Centralized Nurse Practioner

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. 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.

Assessing both behavioral and physical health conditions with a thorough history and in-person physical examination Capturing conditions not yet diagnosed, ordering 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 As part of an interdisciplinary care team, collaborate regularly with certified peer recovery specialists (firsthand Guides) on individualized recovery plans 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 clinical information in a manner that supports 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