Nurse Practitioner OR Physician Assistant

At firsthand, our Advanced Practice Providers (Nurse Practitioners & Physician Assistants) are referred to as Health Guides (HGs). Our HGs are dedicated and compassionate advocates leading the individuals we serve on a journey towards wellbeing and recovery.HGs lead the medical aspects of team-based care for individuals with serious mental illness that firsthand serves. They are responsible for whole person assessment and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of firsthand Guides (Certified Peer Recovery Specialists) and Community Resources Guides (social services personnel). As a HG, you will perform a whole-person clinical assessments, including:Assessing both behavioral and physical health conditions with a thorough history and physical examinationVerifying previously diagnosed conditions and capturing conditions not yet diagnosed based on review of medical records, evidence-based practice, clinical judgment and diagnostic studies. ,Overseeing transitions of care by conducting post-hospital discharge visits to ensure a stabilizing plan is in place to avoid unnecessary rehospitalizations.Conducting visits in the in the office, virtually, in the field, or in an individual's home when neededEnsuring continuity of care, referring to community primary and behavioral health providers and specialists based on assessed needsSupporting individuals in developing and exercising self management skills and person-centered care around their individual goals and preferences via motivational interviewing and holistic care planningOrganizing clinical information in a manner that supports appropriate clinical documentation criteria for successful disability applications (if appropriate)Collaborating with a team of clinical documentation specialists, certified coders, and medical assistantsAs a HG, you will lead the medical component of the team-based care provided by firsthand, including:Training and advising roles like Medical Assistants, and Peer Recovery Specialists on behavioral, clinical, and social health prioritiesSupporting care coordinationLeading care and disease management and identifying actionable care gaps Communicating and coordinating with individuals' care providers, primarily at CMHCs, FQHCs, and hospitals Providing direct patient care when unscheduled care needs cannot be met by existing community providersAs a HG, you will collaborate with other team members to provide integrated care:Assist firsthand Guides (peer specialists) with engagement and recovery supportWork with the firsthand Care Team and the Community Resources Guide in supporting individuals', SDOH needs and with medical eligibility assessments for disability applications.You will be a good fit if you have:Excellent clinical acumen in outpatient chronic disease and behavioral health careEmpathy, compassion, and approachability Excellent listening, communication, and interpersonal skillsDesire to help people in need and support their path to wellnessComfort working as part of a multidisciplinary team, and enjoy mixed roles and duties - this is a mix of direct service, teaching, and care managementCultural humility, knowledge of trauma informed care, and social determinants of healthDesire to perform data driven careFamiliarity with local providersAbility to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditionsIntermediate computer and typing proficiency - experience with Electronic Health Records, familiarity with Google Suite a plusAbility to operate a vehicle, including a driver's license that is active and in good standing; must be eligible to drive under Company insurance policy The experience you bring to the role includes:5+ years clinical care as a Nurse Practitioner or Physician Assistant, ideally in a primary care settingWorking with and managing a population with challenges such as behavioral health and/or SUD conditionsDeveloping and delivering educational programs to nurses and affiliated medical staffCare management and coordination experience.$142,500 - $142,500 a yearThis is a full-time, exempt, salaried position with potential yearly bonus. We also offer a special incentive program that includes retention bonus and base compensation increases. firsthand cares deeply about ensuring pay equity with every team member who joins. Also know the journey starts here and that we are growing quickly (and intentionally). As such, with solid performance, there is ample opportunity for growth in role/scope and compensation.