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We help individuals with serious mental illness engage with behavioral health, social supports and healthcare.
The Role
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 Dual Certified Primary Care/Psychiatric Nurse Practitioner is a licensed Nurse Practitioner certified in Primary Care and Psychiatric Mental Health Nursing, who leads the behavioral health aspects of virtual care for individuals with serious mental illness (SMI) that firsthand serves. At firsthand, our NPs are referred to as Health Guides (HGs), as they are dedicated, compassionate advocates, leading our individuals on a journey towards wellbeing and recovery.
The Dual Certified HG is responsible for virtual behavioral health assessments, management of our vulnerable population, and collaborating closely with community providers. The Dual Certified HG serves as a key member of the shared clinical services team which includes triage and care coordination nurses (TCCNs) and nurse practitioners (HG flex).
As a Dual Certified Primary Care/Psychiatric HG, you will: perform medical and behavioral health assessments, including:
Diagnosing psychiatric disorders and mental health conditions
Performs virtual SOAR (SSDI/SSI Outreach Access and Recovery) disability assessments
Providing exemplary customer service to individuals with SMI and maintain a NPS score of 90% or higher
Commitment to reducing avoidable Psychiatric ER visits through timely evaluation and interaction with individuals
Assessing behavioral health and medical conditions with a thorough history and virtual physical examination
Diagnosing psychiatric disorders and mental health conditions
Documenting patients’ medical and psychological histories, mental status exams, diagnoses, treatment plans, prescriptions, and outcomes
Educating patients and family members about mental health, medications, and treatment plans
Prescribing and monitoring prescribed prescriptions for psychotropic medications, abiding by laws and regulations
Managing and monitoring for metabolic syndrome and/or other comorbidities
Ensuring continuity of care, referring to community primary and behavioral health providers and specialists based on assessed needs
You will be a good fit if you have:
Intrinsic motivation to be a top performer in visit productivity and patient outcomes
A tenacious and independent work ethic and thrive on white space/self-starting
Above average comfort with technology and navigating multiple systems, as this is a 100% remote position
Desire to perform data driven care
Natural ability to adapt to various assignments and moving target goals
Empathy, compassion, and approachability
Excellent listening, communication, and interpersonal skills
Strong background in the diagnosis of psychiatric disorders and psychopharmacological treatments and familiarity with non-pharmacological interventions
Excellent verbal and written communication, organizational, and time management skills
The required experience you bring to this role includes:
Dual certification as a Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner
2+ years clinical care as a dual certified Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner.
1+ years telehealth experience
Strong background in the diagnosis of psychiatric disorders and psychopharmacological treatments and familiarity with non-pharmacological interventions
Excellent verbal and written communication, organizational, and time management skills
Schedule:
4, 10 hour shifts
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.
What the Team is Saying
Bonnie
Director, Learning & Development
Sandy
Director, Operations
Zuhaib
Director, Market Development
Courtney
Sr. Talent Partner
Shohini
Product Manager
Ian
Clinical Documentation Manager
Tiffany
Manager, Clinical Documentation Integrity
Vishnu
Senior Data Scientist
Daryl Patton
Clinical Technology Manager
Priyanka
Associate Product Manager
Nia
Director, Clinical Operations
Brennan
Head of Engineering
Darrin
Lead Data Engineer
firsthand Health Inc Compensation & Benefits Highlights
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Healthcare Strength — Health coverage is described as starting on day one with medical, dental, and vision, plus free, unlimited telehealth and talk therapy via HealthJoy. Feedback suggests mental‑health resources are a standout, supported by recent Platinum Bell Seal recognition for workplace mental health.
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Parental & Family Support — Parental leave is presented as 16 weeks fully paid for all parents, with adoption leave and reimbursement for related costs also included. Feedback suggests these benefits are notably comprehensive for a mid‑sized employer.
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Leave & Time Off Breadth — Time off is outlined as up to 20 vacation days, 12 paid holidays plus 2 floating holidays, and generous sick/wellness time. Some public materials also describe flexible or unlimited PTO and uncapped sick time.
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The Company
What We Do
firsthand is transforming the way individuals living with Serious Mental Illness (SMI) receive care. We are focused on delivering real outcomes for a cohort that has historically been underserved, stigmatized, and deprioritized. By building a service focused on whole-person care, firsthand aims to find, establish a trusting relationship with, and support quality care for individuals living with complex experiences of SMI. Most importantly, our goal is to be the trusted guide, partner, and first call for individuals we serve, guiding them to a life of stability and independence. In doing so, we will 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 serious mental illness.
Why Work With Us
Our frontline colleagues bring lived experience with serious mental illness to their work- they’ve walked in the shoes of those we serve. They can build trust in a way many others cannot. Much of our team has a personal connection to the mental illness space, and we come together from a wide variety of backgrounds to unite in this common mission.
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firsthand Health Inc Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Our Support team (Tech, Operations, G&A) members can work remotely anywhere in the U.S or from our NYC office.
Typical time on-site:
Not Specified
New York, NY
