Health Guide Job at Firsthand
firsthand is changing the way individuals living with Serious Mental Illness (SMI) get care. We are focusing 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. firsthand’s high-touch model will dramatically improve the health and outcomes of its engaged individuals, driving down the utilization of high-cost care while also helping individuals enroll in eligible federal, state, and municipal benefits. 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.
We are building a team of deeply passionate problem-solvers who are courageous enough to take on one of the country’s most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a voice at the table in the earliest stages of business building.
The Health Guide is a licensed Nurse Practitioner who leads the medical aspects of team-based care for individuals with serious mental illness that firsthand serves. The Health Guide is responsible for documenting and supporting the medical needs of the individual, by performing a whole-person clinical assessment to identify and remediate care gaps. On an ongoing basis, the Health Guides will support care coordination among the individual’s medical and behavioral health providers, making referrals as appropriate, as well as provide clinical support to firsthand Guides (peers) and Community Resources Guides (social workers).
As a Health Guide, you will:
- Perform a whole-person clinical assessment, including:
- Assessing both behavioral and physical health conditions with a thorough history and physical examination
- Capturing conditions not yet diagnosed, ordering additional studies where indicated to confirm or rule out the diagnosis
- Collaborating with a team of support including medical records and clinical documentation specialists, certified coders, and medical assistants
- Conducting visits in the in the office, virtually, in the field, or in an individual’s home when needed
- 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 the information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate)
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 priorities
- Supporting Guide Team on care coordinationLeading care and disease management - identifying actionable care gaps
- Communicating and coordinating with individuals’ care providers, primarily at CMHCs, FQHCs, and hospitals
- Providing direct patient care when needs cannot be met by existing community providers
You will be a good fit if you have:
- Empathy, compassion, and approachability
- Excellent listening, communication, and interpersonal skills
- Desire to help people in need and support their path to wellness
- Comfort working as part of a multidisciplinary team, and enjoy mixed roles and duties - this is a mix of direct service, teaching, and care management
- Cultural humility, knowledge of trauma informed care, and social determinants of health
- Desire to perform data driven care
- Familiarity with local providers
- Ability to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditions
- Intermediate computer skills, familiarity with Microsoft Office Suite
- Driver’s license, private auto insurance, and be insurable under firsthand coverage
The experience you bring to this role includes:
- 5+ years clinical care as a Nurse Practitioner, ideally in a primary care setting
- Working with and managing a population with challenges such as behavioral health and/or SUD conditions
- Developing and delivering educational programs to nurses and affiliated medical staff
- Care management and coordination
Benefits
Our compensation package includes base, equity and a bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, flexible vacation, and a supportive culture.
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