Advanced Practice Nurse (Fulltime)

Centralized Health Guide
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. The Centralized Health Guide is a licensed Nurse Practitioner who leads the medical aspects of virtual care for individuals with serious mental illness that firsthand serves.
The Centralized Health Guide is responsible for virtual whole person assessments and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of triage registered nurses and psychiatric nurse practitioners.
As a Centralized Health Guide, you will:
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
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 skills 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:

Provide 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 individual
Provide 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:

Leads individual progress reviews in partnership with firsthand guides
Desire to perform data driven care
Natural ability to adapt to various assignments and moving target goals
Willingness to become certified in psychiatric nursing (on the RN level)
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)

firsthand is building a workplace and culture that cares deeply for our team and our communities. A range of healthcare benefits offerings for yourself and/or your family

• Competitive and flexible paid time off policies
• 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.