---
title: 'Consultation-Liaison Psychiatric Nurse Practitioner at firsthand Health'
canonical: 'https://feeny.ai/job/consultation-liaison-psychiatric-nurse-practitioner-firsthand-health-richmond-zdhjt79n6dsd'
type: 'job'
last_seen: '2026-09-12'
---

# Consultation-Liaison Psychiatric Nurse Practitioner at firsthand Health

- **Company:** firsthand Health
- **Location:** Richmond, VA
- **Compensation:** $150k–$160k
- **Posted:** 2026-08-31
- **Last confirmed live:** 2026-09-12
- **Apply:** https://job-boards.greenhouse.io/firsthand/jobs/4388517009

## 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.

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 Consultation-Liaison Psychiatric Nurse Practitioner is a board-certified Psychiatric Mental Health Nurse Practitioner who serves as the founding clinician of firsthand's hospital psychiatric consult service, and as the most visible representative of firsthand inside our partner hospital.

When an emergency physician or hospitalist places a psychiatric consult, you are the person who shows up the same day, performs the assessment at the bedside, and begins treatment in the room: medication management, long-acting injectable antipsychotics, medication for addiction treatment where indicated, and substantive therapeutic work — not a chart review and a medication reconciliation. You follow admitted patients to the floor, document in the hospital's EHR, and become known to the hospital teams by name. You practice alongside a consultation-liaison psychiatrist who provides supervision and escalation support for complex management; the two of you are introduced to the hospital as a named pair, not an anonymous service.

The second half of the role is what makes it unlike any other consultation-liaison job on the market: the same clinician carries the outpatient bridge. The patient you assess in the emergency department on Tuesday is the patient you see in a firsthand bridge appointment the following week. That continuity is not a staffing convenience, it will deliver superior clinical results.

As a Consultation-Liaison Psychiatric Nurse Practitioner, you will:

- Conduct same day psychiatric consultations for patients based on requests from emergency, medical, and surgical teams;
- Collaborate closely with hospital teams including attending physicians, nursing staff, and case managers, to develop and implement treatment plans.
- Perform rapid assessment, crisis intervention, and stabilization for patients presenting in psychiatric crisis including suicide and violence risk assessments
- Escalate to the collaborating psychiatrist for complex management, and practice within your training and experience with a referral plan for complex cases and emergencies
- Provide outpatient services for stabilization, medication management and supportive psychotherapy
- Establish and maintain working relationships with hospital departments and community partners, and contribute to consult workflow and care pathway development in collaboration with the consulting psychiatrist

You will be a good fit if you have:

- A belief in the impact of early psychiatric involvement on the overall care plan for medically complex patients and a conviction that the patients who are hardest to place deserve the same urgency as anyone else in the hospital
- High emotional intelligence and genuine affability: the ability to walk into a hospital, and win over the charge nurse, the attending, and the patient in the same hour. Warm, unflappable, easy to work with, hard to rattle
- A sound, evidence-based clinical assessment framework: a clear, defensible approach to deciding when a patient in the emergency department needs further observation, inpatient admission, or safe discharge to the community, with respect to suicide risk, ability to care for self, and risk of danger to others
- Credibility with emergency physicians, hospitalists, and surgeons, and the communication skills to influence a team that is not your own
- An owner's mindset and a tenacious, independent work ethic: you will build the workflows, the relationships, and the reputation of this service from zero. You will hear “that's not how we do it here” regularly, and you will treat it as information rather than an insult

Licensure and credentialing:

- Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
- Active Virginia APRN license. Autonomous practice designation specific to psychiatric practice preferred
- National psychiatric APRN certification (ANCC or equivalent)
- DEA registration, including the ability to prescribe Schedule II–VI medications and buprenorphine
- Active Medicare enrollment via PECOS as an individual provider, and active Virginia Medicaid (DMAS) enrollment, strongly preferred
- Current, attested CAQH ProView profile
- No history of Medicare or Medicaid sanctions or exclusions, and no unresolved licensure disciplinary actions
- Active, unrestricted malpractice and professional liability coverage, or the ability to furnish a certificate of insurance upon offer

Schedule and on-call: 5, 8 hour shifts hours M-F, occasional weekend on-call Base salary range: $150,000—$160,000 USD

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

Our full-time compensation package includes a base salary, equity, and performance bonus potential, supported by comprehensive health, dental, vision, and mental wellness coverage. We offer a 401(k) with company match and 16 weeks of paid parental leave for both parents. In your first year, you will accrue 120 hours of vacation annually (4.62 hours per pay period), which steps up to 160 hours annually (6.15 hours per pay period) after one year—all within a welcoming, 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](http://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.

## About firsthand Health

## Company Overview
- **One-liner**: firsthand Health provides community-based, whole-person care for individuals living with Serious Mental Illness (SMI) by deploying peer support specialists with lived experience.
- **Entity Type**: Private (funded startup)
- **Headquarters**: New York, New York, United States
- **Founded**: 2021
- **Founders**: Not publicly listed as a single founder; the founding team includes serial entrepreneurs and healthcare executives. Cory Roberts is listed as a Co-Founder and Board Director [linkedin.com](https://www.linkedin.com/company/firsthandcares).

## Core Business
- **Primary Industry**: Mental Health Care / Healthcare Services
- **Target Customers**: B2B — primarily managed care plans and state agencies responsible for providing care to individuals with SMI; B2C — individuals living with serious mental and physical health challenges.
- **Mission**: Build and scale a world-class team dedicated to delivering life-changing outcomes to individuals living with serious mental and physical illnesses [firsthandcares.com](https://www.firsthandcares.com/work-with-us).
- **Vision**: A world where individuals living with serious mental and physical illnesses live their best possible lives.

## Products & Services
- **helpinghand Platform**: A technology platform (HITRUST r2 certified) that supports the company’s care model [firsthandcares.com](https://www.firsthandcares.com/).
- **CORE Guide / Peer Support Program**: The core service is a community-based program where "CORE Guides" (peer recovery specialists, peer counselors) — 65% of whom have lived experience with serious mental illness — engage individuals in their homes and communities to build trust, coordinate care, and provide social and behavioral health support.

## Market Standing
- **Valuation**: Not disclosed
- **Total Funding**: $42.9M across two rounds [linkedin.com](https://www.linkedin.com/company/firsthandcares).
    - Venture Round (Dec 2021): $14.8M
    - Venture Round (Feb 2023): $28.1M (1 investor)
- **Key Metric**: Annual Revenue of $1.0M (LinkedIn estimate, likely early-stage) [linkedin.com](https://www.linkedin.com/company/firsthandcares).
- **Notable Investors/Partners**: Not publicly named in search results, but the company partners with managed care plans and states.
- **Growth Signals**:
    - Headcount: 123 employees (LinkedIn), with 380 total employees reported on Built In (likely a broader count including contractors) [builtin.com](https://builtin.com/company/firsthand-health-inc-4).
    - Year-over-year headcount growth: +5.2% [linkedin.com](https://www.linkedin.com/company/firsthandcares).
    - Active job postings: 28, with a +154.5% increase year-over-year [linkedin.com](https://www.linkedin.com/company/firsthandcares).
    - Recognized as a Modern Healthcare Best Places to Work (2023, 2024, 2026) and received Mental Health America’s Platinum Bell Seal for workplace mental health (2024, 2025, 2026) [firsthandcares.com](https://www.firsthandcares.com/work-with-us).
    - Named to the New York Digital Health 100 (DH100) for 2024, 2025, and 2026 [firsthandcares.com](https://www.firsthandcares.com/work-with-us).

## Competitive Advantages
- **Lived Experience Model**: 65% of frontline team members have lived experience with serious mental illness; 35% have experienced housing insecurity; 25% have spent time in the corrections system. This shared experience builds unparalleled trust with the individuals they serve [builtin.com](https://builtin.com/company/firsthand-health-inc-4/faq/culture-values).
- **Whole-Person Care**: Integrates behavioral health, social supports, and medical care in a community-based setting, addressing a historically underserved and stigmatized population.
- **HITRUST r2 Certification**: Demonstrates a high standard for data security and privacy on their technology platform.

## Strategic Focus
- **Scale and Geographic Expansion**: Actively hiring for General Manager roles in Washington, D.C., and Virginia, and a Senior Director for Washington State, indicating a push into new markets [linkedin.com](https://www.linkedin.com/company/firsthandcares).
- **Deepening the Care Model**: Continuously improving their peer-led, community-based intervention to drive better outcomes and reduce costs for managed care plans.
- **Building the Team**: Focused on hiring passionate problem-solvers to "take on one of the country’s most challenging healthcare problems" [firsthandcares.com](https://www.firsthandcares.com/work-with-us).

## Why Work Here
- **Deeply Mission-Oriented**: The work is described as "deeply mission-oriented" with a focus on delivering life-changing outcomes for a population that has been historically stigmatized and underserved.
- **Strong Culture & Values**: Named a "Best Places to Work" multiple years. Culture is described as warm, deliberately un-corporate, and values-driven (Individuals at the Center, Candor and Kindness, Bias Toward Action, Serious Fun) [builtin.com](https://builtin.com/company/firsthand-health-inc-4/faq/culture-values).
- **High Employee Engagement**: An engagement score of 86%, a voluntary turnover rate of only 7%, and an employee NPS of approximately 95% [builtin.com](https://builtin.com/company/firsthand-health-inc-4/faq/culture-values).
- **Benefits** [firsthandcares.com](https://www.firsthandcares.com/work-with-us):
    - Up to 20 days vacation annually
    - 12 paid holidays + 2 floating holidays
    - Fully paid parental leave (16 weeks)
    - Generous sick & wellness leave
    - 401(k) match of up to 4%
    - Free, unlimited telehealth & talk therapy
    - Annual personal development stipend
    - Sabbatical available after 5 years for all employees
- **Work Policy**: Hybrid for Support team (Tech, Operations, G&A) — can work remotely anywhere in the U.S. or from the NYC office. Frontline roles (CORE Guides, Managers) are in-office/field-based in their local markets (e.g., Columbus, OH; Washington, D.C.; Washington State) [builtin.com](https://builtin.com/company/firsthand-health-inc-4).
- **Support for Employee Wellbeing**: Managers are trained to recognize burnout; meetings are not scheduled after hours; employees are encouraged not to check email outside of work hours [builtin.com](https://builtin.com/company/firsthand-health-inc-4/faq/culture-values).

## Sources
1. [firsthandcares.com](https://www.firsthandcares.com/)
2. [builtin.com](https://builtin.com/company/firsthand-health-inc-4)
3. [firsthandcares.com/work-with-us](https://www.firsthandcares.com/work-with-us)
4. [linkedin.com](https://www.linkedin.com/company/firsthandcares)
5. [builtin.com](https://builtin.com/company/firsthand-health-inc-4/faq/culture-values)

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