Bilingual Nurse Practitioner

About us

firsthand supports individuals living with serious mental illness (SMI). 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 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.

• Virtual whole‑person clinical assessment
  • Assess behavioral and physical health conditions with a thorough history and virtual physical examination.
  • Prescribe medications on an ongoing and short‑term basis.
  • Capture undiagnosed conditions, order additional studies when indicated.
  • Collaborate with medical records, clinical documentation specialists, certified coders, and medical assistants.
  • Make individualized recommendations or referrals for programs/care based on assessed needs.
  • Support individuals in developing and practicing self‑management skills through motivational interviewing and holistic care planning.
  • Organize information to support appropriate clinical documentation and successful disability applications (if appropriate).
• Virtual unscheduled care assessments and transition of care
  • Provide exemplary customer service to individuals with SMI and maintain an NPS score of 90% or higher.
  • Commit to reducing ER visits within 7 days of interaction.
  • Provide urgent‑care treatment for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, cold and flu symptoms, UTI, pain, anxiety, depression, and suicidal ideation.
  • Conduct transition‑of‑care visits for individuals within 7 days of discharge from ER or hospitalization.
• Guidance and support to In‑person Health Guides and firsthand guides
  • Lead individual progress reviews in partnership with firsthand guides.
  • Assist with implementing new interventions and work processes.

• 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.
• 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 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.

• 3+ years of clinical care as a Nurse Practitioner, ideally in a primary care setting or emergency department.
• Experience working with and managing a population with challenges such as behavioral health and/or SUD conditions.
• Care management and coordination experience.
• Psych‑RN certification (optional, willingness to become certified).
• Bilingual in English/Spanish.

Base salary range: $142,500—$142,500 USD.

• 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 coverage.
• 16 weeks parental leave for either parent.
• 15 days/year vacation in the…