Careers & Clinical Partnerships

Built by us.
For us.

Rainbow Transformations Foundation is a trans-led nonprofit grounded in peer support, harm reduction, and community care. We are not a traditional clinic. We are a horizontal, peer-centered hub — and we are building our workforce to reflect that from the ground up.

A note on how we work: All services RTF delivers directly are peer support — non-clinical, not licensed treatment. Clinical consultation (SUD, nursing) is provided by independently licensed and certified professionals operating under their own credentials. Partners always remain in control of their own professional, supervisory, and liability structures.
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We strongly prioritize BIPOC TGI candidates across all roles and partnerships, and are committed to building a workforce that reflects the communities most impacted by the gaps we're working to close. All TGI people are welcome. People with histories of migration, sex work, incarceration, street economies, and disability are not just welcome — they are the people this work was built for and with. If standard job descriptions have never felt like they were written for you, this one is different.

Paid Staff Roles

Medi-Cal Peer Support Specialists

Peer support is not a lesser form of care. It is a distinct and irreplaceable form of care — one that clinical training cannot replicate and that lived experience makes possible.

We are building a team of Medi-Cal Peer Support Specialists — BIPOC TGI people with lived experience of mental health challenges, substance use, trauma, and gender-affirming care who provide 1:1 peer support, groups, navigation, and case management under the Medi-Cal Peer Support benefit.

Peer Specialists at RTF are paid staff. We are transparent about what we can offer and when, and we are committed to equitable compensation tied to our Medi-Cal peer contracts and grant funding. We will be clear with you about start dates, hours, and what the pipeline looks like — no vague promises.

You don't need a degree. You don't need a resume that looks a certain way. You need to have lived some version of what our community navigates — and be ready to show up alongside others navigating it now.

Who thrives hereTGI people — trans, nonbinary, gender-nonconforming, and intersex — with lived experience of mental health, SUD, trauma, or gender-affirming care navigation. We strongly prioritize BIPOC candidates and actively seek to reflect the communities most impacted. You don't need a formal job history to apply.
Why lived experience leadsPeer support from shared identity offers something systems built by and for others often cannot: safety, recognition, and a genuine chance at being understood. That is what we are here to provide — and it starts with who is on the team.
What the role includes1:1 peer support sessions, facilitation of TGI-specific groups, navigation and case management, community outreach, and participation in model development and organizational learning.
Training & credentialing supportWe support Peer Specialist credentialing and professional development. We are invested in your growth — not just in what you bring to the role from day one.
Language & accessWe actively seek staff who speak Spanish and other languages. Neurodivergent and differently abled candidates are strongly encouraged. Accommodations are built in, not an afterthought.
Independent Clinical Partners

SUD Clinical & Nursing Partnerships

We are not looking for a supervising entity or a clinical director. We are looking for independently credentialed peers — people who bring their own licensure, supervision, and liability — who want to put their expertise in service of TGI community care.

We are actively seeking CADC-II, LAADC, and equivalent SUD counselors and practices, as well as RN/BSN-level nursing consultants, for limited but meaningful partnership — curriculum design, clinical consultation on specific cases, SUD risk education for our post-surgery support track, and occasional group co-facilitation.

We strongly prioritize BIPOC TGI clinicians and practices and are explicit about that. All TGI-affirming practitioners are welcome to inquire. If you share the identity of the communities we serve, your perspective is not incidental — it is the point.

Clinical partners remain fully independent. You hold your own license, your own supervision, and your own liability. You are not employees of RTF. You are not our supervising entity. What we are building together is a genuine collaboration — peer-led at the center, with specialist expertise woven in where it adds most.

Who we're looking forCADC-II, LAADC, or equivalent SUD counselors and practices — and RN/BSN-level consultants — with their own licensure, supervision structure, and liability coverage. Operating independently, not as RTF staff.
What partnership looks likeConsultative input on specific cases, SUD curriculum design for TGI populations, post-surgery SUD risk education, and occasional group co-facilitation. Limited scope, high impact.
Post-surgery track consultationOur peer-led pre- and post-gender-affirming surgery support program benefits from SUD clinical input around harm reduction, opioid risk, and recovery navigation. We want partners with both clinical depth and TGI cultural fluency.
Your independence is protectedPartners operate under their own professional, supervisory, and liability structures at all times. We do not supervise, direct, or take responsibility for licensed clinical work. Any formal arrangement is governed by a written agreement making that clear.
How We Handle Compensation

Honest about money from the start.

We believe in transparency around compensation — not promises we can't keep, and not unpaid labor dressed up as opportunity.

Peer Specialist Roles — Paid Staff

Peer Specialist positions are paid staff roles. Compensation is tied to our Medi-Cal peer support contracts and grant funding. We are committed to telling you clearly what hours and start dates look like before you commit anything to us — and we will not string people along in unpaid pipelines.

Clinical Partnerships — Three Models

Model 01
Contracted Compensation

When grant or program funds are available, we pay partners at an agreed contracted rate. We are upfront about when this is possible and when it is not — before you do any work.

Model 02
Sliding-Scale Volunteer

For partners whose practices can accommodate reduced rates, we co-design a sliding-scale arrangement together — one that respects the value of your expertise and the reality of our funding.

Model 03
Pro Bono Collaboration

For individuals and institutions whose own commitments include pro bono work, we welcome partnerships that fulfill those commitments — with full documentation and a structured agreement.

We will always tell you which model applies before any work begins. Clinical and nursing partners set their own professional boundaries, rates, and scope. RTF does not hold a DHCS SUD facility license or clinical certification — all clinical work is provided by partners under their own independent credentials.

Get Involved

Two ways in.

Whether you're ready to join our peer team or looking to explore a clinical partnership, the first step is the same: reach out. No perfect cover letter required. No rigid application form. Just tell us who you are and where you're coming from.

Pathway 01 · Peer Team

Join the Peer Team

Express interest in our Medi-Cal Peer Specialist pipeline. Tell us about yourself — your lived experience, your connection to TGI community, what you're hoping for. We are building a jobs pipeline and will be transparent about timelines as they develop.

Open to all TGI people with lived experience. We strongly prioritize BIPOC candidates and those with backgrounds in migration, sex work, incarceration, street economies, and disability. No formal job history required.

Express Interest →
Pathway 02 · Clinical Partners

Partner Clinically

Send us a brief Request for Information — who you are, your credentials, what kind of partnership you're interested in, and whether you're a solo practitioner or part of a group practice. We will respond with honesty about what we can offer and what model would apply.

For CADC-II, LAADC, and equivalent SUD clinicians and practices. RN/BSN-level nursing consultants also welcome. We strongly prioritize BIPOC TGI practitioners — all TGI-affirming clinicians are welcome to inquire.

Send an RFI →

Both pathways reach us at hana@rtf-usa.org. We read every message. We respond within 5–7 business days. You don't need to have it figured out before you write.