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Firsthand

Mental health support leveraging lived experience

High Intensity Peer Counselor - Rise Guide

Full-TimeUpdated on 10/23/2026
$28/hr+ Equity + Performance bonus
Mid
Vancouver, WA, USA
HybridThis role is performed in the community, with 80%+ of time potentially spent outside an office.
Social & Community ServicesCase Management & Advocacy
No H1B Sponsorship

About the job

Requirements
  • Personal knowledge of recovery and/or behavioral health.
  • Patience, persistence, and a desire to help individuals experiencing serious mental illness and/or substance use disorder on their wellness journey.
  • Comfort working collaboratively within multidisciplinary teams, including clinicians.
  • Comfort or willingness to advocate for individuals in acute healthcare settings such as emergency rooms and hospitals.
  • Strong personal boundaries and the ability to navigate high-stress situations while maintaining a calm, grounded presence.
  • Demonstrated mastery of technical tools such as smartphones, email, messaging services, and apps.
  • Openness to receiving feedback and a commitment to professional growth.
  • Lived experience with serious mental illness and/or substance use disorder and recovery.
  • 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 certification.
  • Training or experience in de-escalation techniques, such as CPI or Mental Health First Aid, or willingness to be trained in these methods.
Responsibilities
  • Support a small, high-touch panel of individuals by providing comprehensive hybrid support, in person and virtually, tailored to complex acuity levels.
  • Provide intensive post-discharge management and transitions of care, ensuring stability after psychiatric hospitalization and supporting individuals, ideally through in-hospital engagement and discharge planning.
  • Coordinate and support individuals’ substance use disorder treatment plans, when applicable.
  • Support individuals in navigating their relationship with medications, including identifying and addressing barriers to adherence and facilitating communication with their prescribing team.
  • Develop a deep understanding of individuals’ supports and triggers for deterioration, and quickly develop safety and action plans to support them.
  • Co-navigate systemic barriers with individuals to help them access care, including appointments, transportation, and enrollment in care services.
  • Actively problem-solve and take ownership of resolving social challenges such as housing, food, and transportation.
  • Participate in daily huddles and regular IPRs to ensure a coordinated approach 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 with individuals, supporting them with empathy and assistance with problem-solving.
  • Support individuals and the broader RISE care team in preventing sentinel and traumatic events, leading to better clinical outcomes and quality of life.
Desired Qualifications
  • Experience with direct, in-person engagement with 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, such as mental health and drug courts.
  • Ability to thrive in a mobile environment, spending 80% or more of time in the community, including homes, hospitals, and streets, 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 (a company vehicle may be provided), and eligibility to drive under the company’s insurance policy.

About the company

Firsthand Cares provides mental health support and resources for people with serious mental illness, with many staff having lived experience to build trust. It offers services like personal guidance, connections to community resources, and mental health advocacy delivered by trained professionals guided by lived experience. The emphasis on shared lived experience sets it apart from traditional providers, as it complements clinical care and community resources rather than relying only on medical treatment. Its goal is to improve mental health outcomes by reducing access barriers and guiding recovery through a compassionate, experience-informed approach.

Company Size

51-200

Company Stage

Late Stage VC

Total Funding

$52.9M

Headquarters

New York City, New York

Founded

2021

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Simplify's Take

What believers are saying

  • July 2026 financing signals investor support after 2025 staffing collapse.
  • Carelon's value-based contract gives Firsthand a harder-to-replace distribution channel.
  • Firsthand raised $52.9 million since 2021, funding expansion and product development.

What critics are saying

  • UnitedHealthcare contract loss in March 2025 forced majority layoffs across five states.
  • July 2026 funding raised only $10 million of a planned $32 million round.
  • Single-payer dependence threatens survival; another payer loss can crush revenue before 2027.

What makes Firsthand unique

  • Peer-support clinicians with lived serious-mental-illness experience build trust with patients.
  • Carelon partnership manages behavioral, pharmacy, inpatient, outpatient, and physical costs together.
  • Firsthand targets serious mental illness exclusively, not broad telehealth or generic therapy.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Company Match
  • Parental Leave
  • Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

-1%

2 year growth

-1%
Behavioral Health Business
Jul 22nd, 2026
firsthand raises $10M of $32M round after staff cuts following UnitedHealthcare contract loss

firsthand, a New York-based serious mental illness care provider, has secured $10 million of a planned $32 million funding round, according to public filings. The raise follows significant setbacks for the company, which was forced to cut most of its staff in March 2025 after losing a major Medicaid contract through UnitedHealthcare. Founded in 2021, firsthand uses a peer support model where individuals with lived experience of serious mental illness engage with patients at home. The company previously raised $28.1 million in its Series B from GV in February 2023. The new funding signals renewed growth momentum. firsthand has established a partnership with Carelon focusing on total cost of care for serious mental illness patients. To date, the company has raised approximately $52.9 million across three funding rounds.

Intelligence360 News
Feb 8th, 2023
Firsthand Health Has Filed A Notice Of An Exempt Offering Of Securities To Raise $29,999,998.00 In New Equity Investment.

FirstHand Health has filed a notice of an exempt offering of securities to raise $29,999,998.00 in New Equity Investment. FirstHand Health has filed a notice of an exempt offering of securities to raise $29,999,998.00 in New Equity Investment.According to filings with the U.S. Securities and Exchange Commission, FirstHand Health is raising $29,999,998.00 in new funding. Sources indicate as part of senior management Chief Executive Officer, Samir Malik played a key role in securing the recent investment and it will aid in aggressively expanding the company, as well as broaden and accelerate product development.About FirstHand HealthAt firsthand we believe firsthand experience with serious mental illness should be valued more. Our founding team of serial entrepreneurs and healthcare executives have intentionally spent careers serving underserved people with Serious Mental Illnesses, in partnership with community-based organizations. We are actively adding like-minded business-builders to fill out our team.To learn more about FirstHand Health, visit http://www.firsthandcares.com/Contact:Samir Malik, Chief Executive Officer314-578-5416https://www.linkedin.com/in/samirmm/SOURCE: http://www.intelligence360.ioCopyright (c) 2023 SI360 Inc