firsthand Health·Billings, Montana
Provide remote telephone and electronic triage support for individuals with serious mental illness and coordinate outpatient care. Develop and deliver medical training for peer mental health workers and social workers.
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 Triage Nurse is a remote Registered Nurse who provides telephone and electronic triage support to firsthand individuals and staff, while also supporting outpatient care coordination.
This is primarily a day-shift role (8 hours/day, 8:30–4:30 PST), with occasional potential for nights or weekends.
When not managing acute issues, Triage Nurses focus on care coordination, training, and related administrative tasks.
Responsibilities of a Triage Nurse include: Triage and Escalation: Manage inbound clinical issues from firsthand staff and patients via phone; triage appropriately and escalate emergencies immediately.
Work closely with peer mental health workers, social workers, and APPs to address acute issues comprehensively.
Coordinate care with patients’ other providers to ensure seamless health management.
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.
Requires an active RN license (NLC preferred), a BSN or ASN, and at least 3 years of ER experience. Must have experience working with behavioral health, SMI, or substance use disorder populations.
Market context
In Montana, nursing roles such as LPNs are typically in steady demand across hospitals, clinics, long-term care, and rural care settings. These jobs can be competitive because employers often look for current Montana licensure, relevant experience or strong new-graduate preparation, and a commitment to ongoing education. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your Montana LPN license status and tailor your application to any setting-specific experience.
