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Firsthand

Mental health support leveraging lived experience

Nurse Practitioner - Pacific Time Schedule

Full-TimeUpdated on 10/15/2026
$150k+ Equity + Performance bonus
Mid
Remote in USA
RemoteMust work on a Pacific Time schedule.
Medical, Clinical & VeterinaryAdvanced Practice Providers
No H1B Sponsorship

About the job

Requirements
  • Have at least 3 years of clinical care experience as a Nurse Practitioner, ideally in a primary care setting or emergency department.
  • Have experience working with and managing a population with behavioral health and/or substance use disorder conditions.
  • Have experience in care management and coordination.
  • Have a license in Florida, Michigan, Ohio, Virginia, or Washington, or be willing to obtain licensure in one of these states.
  • Be willing to become certified in psychiatric nursing at the registered nurse level.
  • Be comfortable using technology and performing data-driven care.
  • Be able to maintain professional boundaries and engagement with a population facing challenges and in non-traditional work conditions.
  • Attest to medical clearance requirements, including vaccination for or immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus, and Diphtheria, subject to applicable exemptions.
Responsibilities
  • Perform virtual whole-person clinical assessments, including assessing behavioral and physical health conditions through a thorough history and virtual physical examination.
  • Treat conditions, including prescribing medications on an ongoing and short-term basis.
  • Identify conditions that have not yet been diagnosed and order additional studies when indicated to confirm or rule out a diagnosis.
  • Collaborate with medical records and clinical documentation specialists, certified coders, and medical assistants.
  • Make individualized recommendations and referrals for programs or care provided by firsthand or outside providers based on assessed needs.
  • Support individuals in developing and exercising self-management skills and person-centered care around their goals and preferences through motivational interviewing and holistic care planning.
  • Organize information to support appropriate clinical documentation and successful disability applications when appropriate.
  • Provide virtual unscheduled care assessments and transition-of-care services.
  • Maintain a net promoter score of 90% or higher while providing service to individuals with serious mental illness.
  • Work to reduce emergency room visits within 7 days of an interaction with an individual.
  • Provide urgent-care treatment for conditions including COPD exacerbations, uncontrolled diabetes, CHF exacerbations, cold and flu symptoms, urinary tract infections, pain, anxiety, depression, and suicidal ideation.
  • Conduct transition-of-care visits within 7 days of an individual's discharge from an emergency room or hospitalization.
  • Lead individual progress reviews in partnership with firsthand guides.
  • Assist with implementing new interventions and work processes.
Desired Qualifications
  • Psychiatric registered nurse certification is optional; willingness to become certified is noted.
  • Clinical care experience in a primary care setting or emergency department is ideal.

About the company

Firsthand Cares provides mental health support and resources for people with serious mental illness, with many staff having lived experience to build trust. It offers services like personal guidance, connections to community resources, and mental health advocacy delivered by trained professionals guided by lived experience. The emphasis on shared lived experience sets it apart from traditional providers, as it complements clinical care and community resources rather than relying only on medical treatment. Its goal is to improve mental health outcomes by reducing access barriers and guiding recovery through a compassionate, experience-informed approach.

Company Size

51-200

Company Stage

Late Stage VC

Total Funding

$52.9M

Headquarters

New York City, New York

Founded

2021

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Simplify's Take

What believers are saying

  • July 2026 financing signals investor support after 2025 staffing collapse.
  • Carelon's value-based contract gives Firsthand a harder-to-replace distribution channel.
  • Firsthand raised $52.9 million since 2021, funding expansion and product development.

What critics are saying

  • UnitedHealthcare contract loss in March 2025 forced majority layoffs across five states.
  • July 2026 funding raised only $10 million of a planned $32 million round.
  • Single-payer dependence threatens survival; another payer loss can crush revenue before 2027.

What makes Firsthand unique

  • Peer-support clinicians with lived serious-mental-illness experience build trust with patients.
  • Carelon partnership manages behavioral, pharmacy, inpatient, outpatient, and physical costs together.
  • Firsthand targets serious mental illness exclusively, not broad telehealth or generic therapy.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Company Match
  • Parental Leave
  • Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

-1%

2 year growth

-1%
Behavioral Health Business
Jul 22nd, 2026
firsthand raises $10M of $32M round after staff cuts following UnitedHealthcare contract loss

firsthand, a New York-based serious mental illness care provider, has secured $10 million of a planned $32 million funding round, according to public filings. The raise follows significant setbacks for the company, which was forced to cut most of its staff in March 2025 after losing a major Medicaid contract through UnitedHealthcare. Founded in 2021, firsthand uses a peer support model where individuals with lived experience of serious mental illness engage with patients at home. The company previously raised $28.1 million in its Series B from GV in February 2023. The new funding signals renewed growth momentum. firsthand has established a partnership with Carelon focusing on total cost of care for serious mental illness patients. To date, the company has raised approximately $52.9 million across three funding rounds.

Intelligence360 News
Feb 8th, 2023
Firsthand Health Has Filed A Notice Of An Exempt Offering Of Securities To Raise $29,999,998.00 In New Equity Investment.

FirstHand Health has filed a notice of an exempt offering of securities to raise $29,999,998.00 in New Equity Investment. FirstHand Health has filed a notice of an exempt offering of securities to raise $29,999,998.00 in New Equity Investment.According to filings with the U.S. Securities and Exchange Commission, FirstHand Health is raising $29,999,998.00 in new funding. Sources indicate as part of senior management Chief Executive Officer, Samir Malik played a key role in securing the recent investment and it will aid in aggressively expanding the company, as well as broaden and accelerate product development.About FirstHand HealthAt firsthand we believe firsthand experience with serious mental illness should be valued more. Our founding team of serial entrepreneurs and healthcare executives have intentionally spent careers serving underserved people with Serious Mental Illnesses, in partnership with community-based organizations. We are actively adding like-minded business-builders to fill out our team.To learn more about FirstHand Health, visit http://www.firsthandcares.com/Contact:Samir Malik, Chief Executive Officer314-578-5416https://www.linkedin.com/in/samirmm/SOURCE: http://www.intelligence360.ioCopyright (c) 2023 SI360 Inc