Psychiatric Nurse Practitioner

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.

Senior Psychiatric Nurse Practitioner (Remote)

The Psychiatric Nurse Practitioner is a licensed Nurse Practitioner certified in 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 Psychiatric Nurse Practitioner HG is responsible for virtual behavioral health assessments, management of our vulnerable population, and collaborating closely with community providers. The Psychiatric Nurse Practitioner 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 Psychiatric Nurse Practitioner, you will perform Medical and Behavioral Health assessments, including:

Provide 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 individual

Assess behavioral health and medical conditions with a thorough history and virtual physical examination

suicide stabilization, diagnosis and stabilization of bipolar, schizoaffective, and schizophrenia in a fully remote environment with in-person peer recovery support.

Diagnose psychiatric disorders and mental health conditions

Document patients’ medical and psychological histories, mental status exams, diagnoses, treatment plans, prescriptions, and outcomes

Educate patients and family members about mental health, medications, and treatment plans

Prescribe and monitor prescribed prescriptions for psychotropic medications, abiding by laws and regulations

Manage and monitoring for metabolic syndrome and/or other comorbidities

Collaborate with a team of support including licensed and non-licensed professionals

Ensure continuity of care, referring to community primary and behavioral health providers and specialists based on assessed needs

Support individuals in developing and exercising self management skills and skills skills person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning

Performs virtual SOAR (SSDI/SSI Outreach Access and Recovery) disability assessments, including:

Highly detailed intake visit on patient’s behavioral health history and impact on ability to work

Organizing the information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate)

Provide Guidance and Support to Psychiatric Nurse Practitioners

Lead by example in maintaining above average visit productivity levels

Display a positive attitude and team player mentality within team

New hire on-boarding and shadowing, and other responsibilities as assigned by Director of Shared Clinical Services

May be responsible for player-coach mentorship of Primary Care/Psychiatric Nurse Practitioners or Triage Nurses (Does not include hiring/career decisions, personnel management.)

Assist with developing and implementing new Primary Care/Psychiatric Nurse Practitioners interventions and work processes

Assist with training and coaching Health Guides and Flex Health Guides on diagnosis and management of psychiatric disorders

You will be a good fit if you have:

Intrinsic motivation to be a top performer in visit productivity and patient outcomes

Tenacious self-starter and independent thinker

Above average comfort with technology, 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

Ability to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditions

The experience you bring to this role includes:

certification as a Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner.

3+ years clinical care as a Psychiatric Mental Health Nurse Practitioner or Adult Health Nurse Practitioner/Psychiatric Mental Health Practitioner.

Telehealth experience

Ability to work collaboratively with a diverse group of licensed and non-licensed professionals

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

firsthand is building a workplace and culture that cares deeply for our team and our communities. Our benefit design is in line with our values of compassion and empathy:

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

Base salary range:

$160,000 — $160,000 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 begin getting to know you.

• Benefits
• Our full-time compensation package includes a base salary, equity, and performance bonus potential, supported by comprehensive health, dental, vision, and mental wellness coverage. We offer a 401(k) with company match and 16 weeks of paid parental leave for both parents. In your first year, you will accrue 120 hours of vacation annually (4.62 hours per pay period), which steps up to 160 hours annually (6.15 hours per pay period) after one year—all within a welcoming, 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