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[Remote] Centralized Nurse Practioner

Remote, USA Full-time Posted 2026-06-26

Note: The job is a remote job and is open to candidates in USA. firsthand supports individuals living with serious mental illness through a holistic approach involving a team of specialists. The Centralized Nurse Practitioner, known as the Local Health Guide, provides primary and urgent care while collaborating with an interdisciplinary team to support vulnerable populations.

Responsibilities

  • Assessing both behavioral and physical health conditions with a thorough history and in-person physical examination
  • Capturing conditions not yet diagnosed, ordering additional studies where indicated to confirm or rule out the diagnosis
  • Provide primary and urgent-care treatment to minimize preventable ER visits for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, Cold and Flu Symptoms, UTI, pain, anxiety, depression, and suicidal ideation
  • As part of an interdisciplinary care team, collaborate regularly with certified peer recovery specialists (firsthand Guides) on individualized recovery plans
  • 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 person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning
  • Organizing clinical information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate)

Skills

  • Licensed Nurse Practitioner
  • 1+ years clinical care as a Nurse Practitioner, ideally in a home or community primary care setting, or emergency department
  • Able to prescribe medications for behavioral health conditions including antipsychotics
  • Working with and managing a population with challenges such as behavioral health and/or SUD conditions
  • Care management and coordination
  • Proficiency and ease with use of technology for documentation or coordination of care (e.g. electronic health or care management software, direct messaging)
  • Passion for in-person care
  • High comfort level for home and community-based visits
  • An interest in or experience working on interdisciplinary teams
  • Natural ability to adapt to various assignments and dynamic goals
  • Empathy, compassion, and approachability
  • Excellent listening, communication, and interpersonal skills
  • Ability to maintain professional boundaries in non-traditional work conditions and use engagement skills with a population with challenges in trusting health care providers

Benefits

  • 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)
  • Supportive and inclusive culture

Company Overview

  • Firsthand is a mental health platform that supports underserved people with serious mental illnesses. It was founded in 2021, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is http://www.firsthandcares.com.
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