High Intensity Peer Counselor (RISE Guide)

firsthand Health•Spokane, WA

3d•Hybrid

About The Position

firsthand supports individuals living with SMI (serious mental illness) through a holistic approach involving peer recovery specialists, benefits specialists, and clinicians. The company focuses on meeting individuals where they are and partnering with them on their journey to better health. firsthand's team members leverage their lived experience to build trust, help individuals reconnect with necessary healthcare, and minimize inappropriate healthcare utilization. The company aims to change how society supports those most impacted by SMI. This role is for a High Intensity Peer Counselor, referred to as a RISE Guide. RISE Guides provide a higher intensity level of care than standard Peer Recovery Specialists, focusing on individuals who require the most intensive support, often engaging with them multiple times a week or even daily. This role is community-based and works alongside CORE firsthand guides, serving a distinct panel of individuals with complex acuity levels. The company cultivates a team of passionate problem-solvers dedicated to tackling complex healthcare challenges. This is described as more than a job, but a calling, offering work with purpose, collaboration with motivated colleagues, and an environment that fosters continuous learning, creativity, and fun.

Requirements

Lived experience with SMI and/or SUD and recovery.
Two (2) years 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 (6) months of employment.
Agreement to complete a paid training period prior to serving individuals and pass assessments to move forward.
Interest in gaining a Community Health Worker (CHW) Credential after hire, or already holds certification.
Training or experience in de-escalation techniques (e.g., CPI, Mental Health First Aid) or a willingness to be trained in these methods.
Empathy, compassion, and approachability.
Excellent listening, communication, and interpersonal skills.
Personal knowledge of recovery and/or behavioral health.
Patience, persistence and a desire to help individuals experiencing SMI and/or SUD on their wellness journey.
Comfort working collaboratively within multidisciplinary teams, including clinicians.
Comfort or willingness to be an advocate for individuals in acute healthcare settings such as ERs and hospitals.
Strong personal boundaries and the ability to navigate high-stress situations while maintaining a calm, grounded presence.
Demonstrated mastery with technical tools like smart phones, email, messaging services, and apps.
Openness to receiving feedback and a commitment to professional growth.

Nice To Haves

Experience with direct in-person engagement for individuals with SMI and SUD.
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 (e.g., mental health and drug courts).
Ability to thrive in a mobile environment, spending 80%+ of your time in the community (homes, hospitals, streets) rather than an office.
Eagerness to expand knowledge about a broad range of health conditions.
Valid driver’s license in good standing, with the ability to operate a vehicle (company vehicle may be provided) and eligibility to drive under the company’s insurance policy.

Responsibilities

Support a small, high-touch panel of individuals, providing comprehensive hybrid support (in-person and virtual) tailored to complex acuity levels.
Provide intensive post-discharge management and transitions of care, ensuring stability post psychiatric hospitalization and supporting them, ideally with in-hospital engagement and discharge planning.
Coordinate and support their Substance Use Disorder treatment plan, if 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 the individual’s supports and triggers for deterioration, and be able to quickly develop safety & action planning to support them.
Co-navigate systemic barriers alongside individuals to ensure they are able to access care, including appointments, transportation, enrollment into care services, and more.
Actively problem solve and own to resolve social challenges, such as housing, food, transportation.
Participate in daily huddles and regular IPRs to ensure a coordinated approach for RISE individuals.
Potentially participate in (Post-Pilot) after-hours rotation to support individuals experiencing a crisis or urgent need outside of standard business hours.
Maintain engagement and build a trusting relationship with their individual, supporting them with empathy and assistance with problem solving.
Support our individual, and our broader RISE care team, with ensuring our individuals avoid any sentinel, traumatic events – leading to better clinical outcomes and quality of life.

Benefits

Base compensation
Equity (or a special incentive program for clinical roles)
Performance bonus potential
Physical and mental health benefits
Dental insurance
Vision insurance
401(k) with a match
16 weeks parental leave for either parent
15 days/year vacation in your first year (increases to 20 days/year in your second year and beyond)
Supportive and inclusive culture