firsthand Health Inc
We help individuals with serious mental illness engage with behavioral health, social supports and healthcare.
Nashville, TN, USA

Licensed Professional Counselor

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Employer Provided Salary: 70,000-80,000 Annually
Salary data is provided by the employer. Please note this is not a guarantee of compensation.

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians, which focuses on meeting each individual where they are and walking with them side by side as a trusted guide, partner, and first call on their journey to wellness.

firsthand's team members use their lived experience to build trust with these individuals and support them in obtaining socio-economic assistance and in reconnecting to primary and behavioral care. Support like this creates substantial savings for managed care organizations (Medicaid providers) and taxpayers by decreasing inappropriate healthcare utilization. This enables us to build solutions that scale and, as a result, change 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 purpose of the LPC is to closely collaborate with the shared clinical services team, delivering expert behavioral health diagnosis, treatment, and ongoing support to patients with serious mental illness across Florida, Michigan, Ohio and Tennessee.

This primarily virtual role, situated in the fun and fast-paced environment of a startup, leverages both telephone and video visit encounters to provide critical support during crises and to teach effective coping skills. By empowering individuals to manage their conditions proactively, the LPC plays a pivotal role in helping patients achieve stability and improve their quality of life, enabling them to live as fully and independently as possible.

As a LPC you will:

  • Focused Short-term Counseling: Provide targeted counseling services designed for brief interventions, offering one to four 30-minute sessions. These sessions are tailored to achieve significant therapeutic outcomes in a condensed timeframe, enabling quick relief and strategic guidance for clients in need.
  • Critical Suicide Crisis Support: Serve as a lifeline for individuals in acute crisis by offering immediate, compassionate, and effective intervention during suicidal emergencies. This vital role ensures safety and instills hope in moments of profound distress.
  • Meticulous Documentation: Maintain detailed records of all client interactions, treatment plans, and progress notes in an Electronic Health Record (EHR) system. This meticulous documentation is essential for ensuring continuity of care and compliance with healthcare regulations.
  • Collaborative Team Approach: Work closely with Psychiatric Advanced Practice Nurses (APN-Cs) to develop and implement comprehensive care plans. This collaboration enhances the quality of patient care through shared expertise and integrated health strategies.

You will be a good fit if you have:

  • Experience with with counseling individuals with serious mental illness (bipolar disorder, schizophrenia, schizoaffective, major depressive disorder)
  • Comfortable with allowing shadowing of peer recovery specialists and nurse practitioners
  • Ability to work both autonomously as a self-starter, and collaboratively as a team member
  • Strong organizational skills
  • Ability to effectively and efficiently complete progress notes after patient sessions 
  • Experience providing telehealth services, evidence-based treatment modalities (DBT, CBT, EFT, etc), and using Google G-suite

The experience you bring to this role includes:

  • Masters degree from an accredited school
  • LPC in Tennessee (required) and willing to get licensed (we cover cost) in Florida, Ohio, and Michigan
  • Mental Health Services Provider Designation (MHSP)
  • Telehealth clinical experience
  • Familiarity and comfort with the DSM V diagnostic criteria
  • Evidence of mature judgment and crisis intervention skills


For full-time employees, our compensation package includes base, equity and a bonus potential.Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, flexible vacation, and a supportive and inclusive culture.

Unfortunately, we are not able to offer sponsorship at this time.

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.

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Candidate Location Eligibility:
Albuquerque, NM
Ann Arbor, MI
Atlanta, GA
Austin, TX
Baltimore, MD
Baton Rouge, LA
Birmingham, AL
Boise, ID
Boston, MA
Buffalo, NY
Charleston, SC
Charlotte, NC
Chicago, IL
Cincinnati, OH
Cleveland, OH
Colorado, CO
Columbus, OH
Dallas-Fort Worth, TX
Dayton, OH
Des Moines, IA
Detroit, MI
Fayetteville-Springdale-Rogers, AR
Greensboro, NC
Hampton Roads, VA
Hartford, CT
Houston, TX
Huntsville, AL
Indianapolis, IN
Jacksonville, FL
Kansas City, MO
Las Vegas, NV
Lexington, KY
Lincoln, NE
Little Rock, AR
Los Angeles, CA
Louisville, KY
Madison, WI
Memphis, TN
Miami, FL
Milwaukee, WI
Minneapolis–Saint Paul, MN
Nashville, TN
New Orleans, LA
New York City, NY
Ogden, UT
Oklahoma City, OK
Omaha, NE
Orlando, FL
Other US Location
Palm Bay-Melbourne-Titusville
Pensacola, FL
Peoria, IL
Philadelphia, PA
Phoenix – Mesa – Scottsdale, AZ
Pittsburgh, PA
Portland, ME
Portland, OR
Providence, RI
Provo, UT
Raleigh-Durham, NC
Reno, NV
Richmond, VA
Rochester, NY
Sacramento, CA
Salt Lake City, UT
San Antonio, TX
San Diego, CA
San Francisco, CA
San Luis Obispo, CA
Santa Cruz, CA
Seattle, WA
Spokane, WA
St. Louis, MO
Tallahassee, FL
Tampa Bay, FL
Tucson, AZ
Tulsa, OK
Washington DC
Wichita, KS
Wilmington, NC

What are firsthand Health Inc Perks + Benefits

Volunteer in local community
Open door policy
OKR operational model
Team based strategic planning
Day off for your birthday
Two floating holidays that you can use for your birthday, or any day!
Quarterly engagement surveys
Hybrid work model
Employee awards
Flexible work schedule
Remote work program
Documented equal pay policy
Mandated unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Hiring practices that promote diversity
Practices include interviewer trainings on diversity/bias, People team members in deliberations trained to call out bias, and recruiting from a diverse array of boards and locations
Health Insurance + Wellness
Disability insurance
Dental insurance
Vision insurance
Health insurance
Life insurance
Mental health benefits
Unlimited talk therapy and telehealth through HealthJoy.
Financial & Retirement
401(K) matching
Company equity
Performance bonus
Child Care & Parental Leave
Generous parental leave
16 weeks paid leave for new parents
Family medical leave
Eligible employees may take up to a total of 12 weeks of FMLA leave within a rolling 12-month period
Adoption Assistance
16 weeks paid leave for either parent after an adoption of a child. Reimbursement for adoption-related costs
Vacation + Time Off
Unlimited vacation policy
Generous PTO
firsthand has a flexible vacation policy. “Flexible” means that, within reason, we do not have an upper limit on the number of vacation days you may take in a year.
Paid holidays
Paid sick days
We do not restrict sick/wellness leave to a certain number of days each year.
Flexible time off
Floating holidays
Bereavement leave benefits
Office Perks
Company-sponsored outings
Pet friendly
Home-office stipend for remote employees
Professional Development
Job training & conferences
Promote from within
Mentorship program
Continuing education stipend
All employees receive a stipend of $1,000 per year for job-related development
Paid industry certifications

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