firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians, which focuses on meeting each individual where they are and walking with them side by side as a trusted guide, partner, and first call on their journey to wellness.

firsthand's team members use their lived experience to build trust with these individuals and support them in obtaining socio-economic assistance and in reconnecting to primary and behavioral care. Support like this creates substantial savings for managed care organizations (Medicaid providers) and taxpayers by decreasing inappropriate healthcare utilization. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.

Medical Director - Florida

This is a part-time role, working between four to six hours each week. The Medical Director will be responsible for providing clinical supervision to up to 5 APRNs across multiple sites in FL, reviewing quality of care, and representing firsthand in referral and care coordination with healthcare providers, including health systems, FQHCs, CMHCs, and primary care providers.

In each of firsthand’s Florida markets - Jacksonville and Orlando - one or more Health Guides (licensed Nurse Practitioner (APRN) or Physician Assistant) leads the medical aspects of team-based care for individuals that firsthand serves. The Health Guide (APRN) is responsible for whole person assessment and management of our vulnerable population, collaborating closely with external primary care and behavioral health providers, as well as an internal team of firsthand Guides (peers) and Community Resources Guides (social workers).

The Medical Director is in collaborative practice and provides clinical supervision with up to 5 HGs (APRNs) across Florida. The Health Guides (APRNs) will also be in collaborative practice and receive clinical supervision with the CMO of firsthand, a board-certified psychiatrist. The HG is responsible for whole person assessment and management of our vulnerable population, collaborating closely with external primary care and behavioral health providers, as well as an internal team of firsthand Guides (peers) and Community Resources Guides (social workers).

The Medical Director will work closely with the CMO and Care Leadership Team to monitor and improve the quality of care provided by health guides. The Medical Director will also reach out to healthcare providers in hospital and community practices to build partnerships to sustain referral and care coordination of patients cared for by the health guides.

The Medical Director collaborates closely with the VP, Clinical Operations, who is responsible for developing and maintaining work processes and data analytics to support health guide care delivery and quality.

As Medical Director of FL, you will:

Be based in Florida, and visit each of the supervised clinical sites at least twice a year each.
Review at least 4 charts per Health Guide (APRN) per month to determine that their care is within the accepted standard of community practice.
Additional chart review for the purposes of quality improvement.
Provide supervision for prescriptive authority for up to the 5 Health Guides (APRNs) assigned.
Meet virtually or in person 1 to 1 with individual Health Guides (APRNs) approximately every 2 to 4 weeks.
Communicate and coordinate with the community team directors and team leads regarding health guide services and teamwork.
Develop and maintain partnerships with hospitals and outpatient care providers to support outreach to find unengaged patients, referral, coordination of care, disease management, and collaboration with firsthand Health Guides (APRNs) and community teams.
Work closely with firsthand's corporate clinical team to develop and improve care delivery and clinical quality improvement processes and outcomes.

You will be a good fit if you have:

Excellent clinical acumen in outpatient chronic disease and mental health care.
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.
Comfort working in collaborative practice both formally with nurse practitioners and informally with a broad range of medical colleagues.
Cultural humility, knowledge of trauma-informed care, and social determinants of health.
Desire to perform data-driven care.
Desire to implement and deliver care that is integrated across chronic medical conditions, behavioral health conditions, inpatient settings, and outpatient settings.
Intermediate computer skills, familiarity with Google Workspace.
Ability to adapt rapidly to variations in team culture and process.
Ability to rapidly develop new professional working relationships with colleagues and patients.
Flexibility, and the willingness/ability to travel in Florida on a regular basis.

The experience you bring to this role includes:

Board certified MD or DO in Internal Medicine or Family Practice.
5+ years clinical care 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.

$150 - $150 an hour

Benefits

For full-time employees, our compensation package includes base, equity (or special incentive program for clinical roles) 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 and inclusive culture.

Unfortunately, we are not able to offer sponsorship at this time.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus, and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.

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Firsthand Health, Inc

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