Nurse Practitioner Jobs

firsthand

Location:
United States, Detroit

Category:
Nursing

Contract Type:
Not provided

Salary:

142500.00 USD / Year

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Job Description:

firsthand supports individuals living with SMI (serious mental illness). 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. The Local Health Guide is a licensed Nurse Practitioner who provides primary and urgent care in-person care (home, street, office setting) for individuals with serious mental illness that firsthand serves. The Local Health Guide is responsible for in-person whole person assessments, chronic care follow-up, and urgent care for our vulnerable population, collaborating closely with specialists including behavioral health providers, as well as an internal team of peer recovery specialists, psychiatric registered nurses, primary care nurse practitioners, and psychiatric nurse practitioners.

Job Responsibility:

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)

Requirements:

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)

Nice to have:

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

What we offer:

equity (or a special incentive program for clinical roles) and performance bonus potential
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

Additional Information:

Job Posted:
December 08, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Nurse Practitioner