F

Firsthand

Mental health support leveraging lived experience

High Intensity Peer Counselor

Case Management & AdvocacyUpdated on Nov 13
Full-timeVancouver, WA, USA

About the Job

Requirements

  • Personal lived experience with serious mental illness and/or substance use disorder and recovery.
  • At least two years of demonstrated recovery time from a mental health and/or substance abuse disorder at the date of application.
  • State Peer Recovery certification, or eligibility and willingness to obtain certification within six months of employment.
  • Agreement to complete a paid training period before serving individuals and pass assessments to move forward.
  • Interest in gaining a Community Health Worker credential after hire, or already holding the certification.
  • Training or experience in de-escalation techniques, such as Crisis Prevention Institute methods or Mental Health First Aid, or willingness to be trained.
  • Mastery of technical tools such as smartphones, email, messaging services, and apps.
  • Ability to advocate for individuals in acute healthcare settings, or willingness to do so.
  • Ability to maintain strong personal boundaries and remain calm while navigating high-stress situations.
  • Empathy, compassion, approachability, listening, communication, and interpersonal skills; patience and persistence; ability to collaborate with multidisciplinary teams including clinicians; openness to feedback and commitment to professional growth.

Responsibilities

  • Support a small, high-touch panel of individuals with comprehensive in-person and virtual support tailored to complex acuity levels.
  • Provide intensive post-discharge management and transitions of care to support stability after psychiatric hospitalization, ideally through in-hospital engagement and discharge planning.
  • Coordinate and support individuals’ substance use disorder treatment plans, when applicable.
  • Help individuals navigate their relationship with medications, identify and address adherence barriers, and facilitate communication with prescribing teams.
  • Understand individuals’ supports and triggers for deterioration and quickly develop safety and action plans.
  • Co-navigate systemic barriers to care, including appointments, transportation, and enrollment in care services.
  • Resolve social challenges such as housing, food, and transportation.
  • Participate in daily huddles and regular individual progress reviews to coordinate support for RISE individuals.
  • Potentially participate in a post-pilot after-hours rotation to support individuals experiencing a crisis or urgent need outside standard business hours.
  • Maintain engagement and build trusting relationships through empathy and problem-solving support.
  • Help the individual and broader RISE care team prevent sentinel and traumatic events, supporting better clinical outcomes and quality of life.

Desired Qualifications

  • Experience with direct in-person engagement for individuals with serious mental illness and substance use disorder.
  • Expertise in recovery education and coaching.
  • Understanding of whole health and trauma-informed approaches to peer support.
  • Familiarity with local community resources, behavioral health systems, and the criminal justice system, including mental health and drug courts.
  • Ability to work in a mobile environment, spending 80% or more of time in the community rather than an office.
  • Eagerness to expand knowledge about a broad range of health conditions.
  • Valid driver’s license in good standing, ability to operate a vehicle, and eligibility to drive under the company’s insurance policy.

About the Company

Firsthand

Mental health support leveraging lived experience

Firsthand Cares provides mental health support and resources for people living with serious mental illness, with many team members having lived experience. Trained professionals deliver personal guidance, connect clients to community resources, and advocate for access to care, earning revenue through private payments, insurance reimbursements, and grants or donations. Its emphasis on shared lived experience builds trust and complements clinical care and community resources rather than relying solely on medical treatment. The goal is to improve mental health outcomes by reducing barriers to access and guiding recovery through compassionate, experience-informed support.

Company size
51-200
Company stage
Late Stage VC
Total funding
$52.9M
Headquarters
New York City, New York
Founded
2021

Recently Posted Jobs

Explore more opportunities at Firsthand

See more jobs