Preview: This is a summary from greenhouse. Click "Apply Now" below to view the complete job description and application details.
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.
firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing 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.
The Rise Director is a senior clinical and operational leader responsible for managing total cost of care for the highest acuity of members in the state—individuals with the greatest medical, behavioral health, and social complexity and highest overall healthcare expenditures.
This leader functions as the strategic and operational case manager for the most complex members, ensuring rapid coordination, prioritized access, and delivery of high-value, high-quality care across the full continuum. The role is accountable for measurable reductions in hospitalizations, emergency department utilization, avoidable acute care spend, and inappropriate high-cost site-of-care utilization. This role reports to the Executive Director for the state.
Core Responsibilities
Total Cost of Care Accountability
High-Intensity Care Team Leadership
Provider Network Optimization
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
Benefits
For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include 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), and a supportive and inclusive culture.
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.
Unfortunately, we are not able to offer sponsorship at this time.
firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.
Firsthand is hiring for this PMHNP position. Psychiatric Mental Health Nurse Practitioners play a critical role in addressing the growing demand for mental health services across the United States. This employer is actively seeking qualified candidates to join their team.
Posted yesterday
Last updated: March 23, 2026
Posted via greenhouse