Centralized Health Guide

firsthand

118d

About The Position

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. The Centralized Health Guide is responsible for virtual whole person assessments and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of triage registered nurses and psychiatric nurse practitioners. As a Centralized Health Guide, you will perform a virtual whole-person clinical assessment, including assessing both behavioral and physical health conditions with a thorough history and virtual physical examination, treating conditions including prescribing medications on an ongoing and short-term basis, 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, 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 skills skills person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning, and organizing the information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate). You will also perform virtual unscheduled care assessments and transition of care, including providing exemplary customer service to individuals with SMI and maintaining a NPS score of 90% or higher, committing to reducing ER visits within 7 days of your interaction with individual, providing urgent-care treatment for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, Cold and Flu Symptoms, UTI, pain, anxiety, depression, and SI, and conducting transition of care visits for individuals within 7 days of discharge from ER/hospitalization. Additionally, you will provide guidance and support to in-person Health Guides and firsthand guides, lead individual progress reviews in partnership with firsthand guides, and assist with implementing new interventions and work processes.

Requirements

• 3+ years 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.
• Experience in care management and coordination.
• 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.

Nice To Haves

• Psych RN certification (optional).
• Passion for serving individuals suffering from mental illness.
• Display a positive attitude and team player mentality within 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 and in non-traditional work conditions.

Responsibilities

• Perform a virtual whole-person clinical assessment, including assessing both behavioral and physical health conditions with a thorough history and virtual physical examination.
• Treat conditions including prescribing medications on an ongoing and short-term basis.
• Capture conditions not yet diagnosed, ordering additional studies where indicated to confirm or rule out the diagnosis.
• Collaborate with a team of support including medical records and clinical documentation specialists, certified coders, and medical assistants.
• Make individualized recommendations and/or referrals for programs/care provided by firsthand and/or outside providers, based on the assessed need.
• 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.
• Organize the information in a manner that supports appropriate clinical documentation and successful disability applications (if appropriate).
• Provide exemplary customer service to individuals with SMI and maintain a NPS score of 90% or higher.
• Commit to reducing ER visits within 7 days of your interaction with individual.
• Provide urgent-care treatment for conditions such as COPD exacerbations, uncontrolled diabetes, CHF exacerbations, Cold and Flu Symptoms, UTI, pain, anxiety, depression, and SI.
• Conduct transition of care visits for individuals within 7 days of discharge from ER/hospitalization.
• Lead individual progress reviews in partnership with firsthand guides.
• Assist with implementing new interventions and work processes.

Benefits

• 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 benefits.
• Dental and vision insurance.
• 16 weeks parental leave for either parent.
• 15 days/year vacation in your first year (increases to 20 days/year in your second year and beyond).
• Supportive and inclusive culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Master's degree
• Number of Employees: 101-250 employees