NEWAI Interview PracticeLearn more
VitalHires

VitalHires offers free resume tools for healthcare professionals alongside clinical, allied health, and care team job listings.

Explore

StatesTop Hiring CitiesFor EmployersFor CandidatesApply to JobsSalary GuidesHiring CalendarBlog

Top Hiring Cities

View all

Los Angeles

California

3172 live openings

Chicago

Illinois

2399 live openings

Houston

Texas

2379 live openings

Philadelphia

Pennsylvania

2354 live openings

Phoenix

Arizona

2135 live openings

Indianapolis

Indiana

2023 live openings

Atlanta

Georgia

2021 live openings

Dallas

Texas

1959 live openings

Legal

AboutContactEditorial PolicyPrivacy PolicyTerms & Conditions

VitalHires surfaces verified openings from hospital systems, health networks, and clinical employers across the US. Always confirm compensation and credentialing requirements on the employer's official hiring page before applying.

© 2026 VitalHires. All rights reserved.Listings are aggregated from hospital systems, health networks, clinics, and clinical employer hiring pages.
  1. Home/
  2. Jobs/
  3. Peer Recovery Specialist (CORE Guide)
FH

Peer Recovery Specialist (CORE Guide)

firsthand Health·Roanoke, Virginia

$22/hr·Full Time·On Site·2-5 yrs·Posted 1 month ago
Practice for this role

About the role

The Peer Recovery Specialist conducts community outreach to individuals with serious mental illness and serves as their primary point of contact for care coordination. They assist with scheduling appointments, advocating for individual needs, and facilitating access to social services and resources.

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.

We named our company firsthand because we believe that lived, or “firsthand,” experience is invaluable for gaining trust and building meaningful relationships.

While we are listing this role externally as Peer Recovery Specialist—a widely recognized term—internally we refer to this important role as firsthand Guide (fG), or a Core Guide.

In our peer-led model, fGs play a critical role in outreach and engagement, supporting individuals living with SMI to achieve and maintain both behavioral and physical wellness.

Trust is at the heart of everything we do, and fGs are uniquely empowered to connect with people who have disengaged from—or never accessed—the services and supports that can improve their quality of life.

This role carries the expertise of a Peer Recovery Specialist, but with our distinctive approach and mission woven into every interaction.

The Core Guide partners closely with other members of the firsthand Care Team to drive whole health wellness. This includes working closely with clinicians and other support team members to ensure individuals get the support they need. fGs act as the point of contact for individuals, helping them schedule appointments, advocate for their needs and set and achieve goals.

As a core guide, you will

Conduct community outreach to individuals with SMI in homes, community locations, and care settings like shelters, hospitals, and emergency departments

Support individuals health needs by scheduling appointments, taking vitals, ensuring clinical visits are attended and completed, and assisting with telehealth access

Build trust and relationships by addressing immediate needs and empowering individuals to identify and pursue personal recovery goals

Serve as the primary point-of-contact, using advanced engagement techniques to facilitate ongoing connection and engagement in supportive services

Help address social determinants of health, facilitating access to benefits, resources, and transportation

Assist with care coordination, advocating for individual goals, accompanying individuals to appointments, and addressing post-discharge needs

Provide timely and thorough documentation of encounters and participate in case reviews and team collaboration

Perform initial and ongoing telephonic outreach

Participate in ongoing training and professional development

Understand that as firsthand learns and grows, your role will constantly evolve. This job description represents many key elements of this role, but they are subject to change

Core guides should have

  • Empathy, compassion, and approachability
  • Excellent listening, communication, and interpersonal skills
  • Personal knowledge of recovery
  • Patience, persistence and a desire to help individuals experiencing SMI and/or SUD on their wellness journey
  • Comfort working collaboratively within multidisciplinary team
  • Basic proficiency with smartphone and computer technology
  • Openness to receiving feedback and a commitment to professional growth

The required experience you bring to this role includes

  • Lived experience with SMI and/or SUD
  • State Peer Recovery certification, or eligibility and willingness to obtain certification within six (6) months of employment
  • 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
  • Demonstrated proficiency with technical tools like email, messaging services, and apps
  • Two (2) years demonstrated recovery time from a mental health and/or substance abuse disorder at the date of application
  • Team members will complete a paid training period prior to serving individuals and must pass assessments to move forward.
  • Ability to work Monday - Friday 8:30 am - 4:30 pm

Bonus points for

  • Experience with direct in-person outreach and 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)
  • Eagerness to expand knowledge about a broad range of health conditions
  • Interest in gaining a Community Health Worker (CHW) Credential after hire, or already holds one

Hourly Pay Rate: $22—$22 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

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 [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.

Requirements

Candidates must have lived experience with mental illness or substance abuse and possess a valid driver's license. A state Peer Recovery certification is required or must be obtained within six months of employment.

  • professional certificate
  • Communication
  • Documentation
  • Empathy
  • Collaboration
  • Interpersonal skills
  • Care coordination
  • Crisis intervention
  • Patient advocacy
  • Mental health support
  • Case management
  • Community outreach
  • Technical proficiency
  • Substance abuse support
  • Peer recovery

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$22/hr
Location
Roanoke, Virginia
Posted
Jun 5, 2026
Application
Employer website
FH

Hiring organization

firsthand Health

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...

Salary listed on 22 jobs
IndustryMental Health Care
TypePrivately Held
Size201-500 employees
Explore employer profile

Stay updated

Get alerts for similar jobs

Be the first to know when more firsthand Health roles in Roanoke, Virginia get posted.

Market context

Virginia behavioral health roles need CSAC licensure

Behavioral-health roles in Virginia commonly draw steady demand as agencies and treatment programs look for clinicians who can support counseling, care coordination, and recovery services. These positions are competitive because a valid CSAC license is required, while a psychology or counseling degree and treatment-industry experience are preferred; benefits often include PTO and health-related coverage. Review the AI-summarized requirements and benefits on this platform to save time, and confirm your licensure details before applying.

VitalHiresVitalHires
Use casesHighlightsExploreBlogAbout
Sign inSearch Jobs

More openings at firsthand Health

Peer Recovery Supporter (CORE Guide)

5 days ago•$20 - $20/hr

Recovery Peer Specialist (CORE Guide)

6 days ago•$20 - $20/hr

Peer Counselor (CORE Guide)

13 days ago•$22 - $22/hr
View all employer openings