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.
RTF is a trans-led organization serving communities disproportionately impacted by racism, transphobia, disability oppression, criminalization, and poverty. We strongly encourage applicants with deep community-rooted experience and cultural fluency in these communities to apply. This is by-us-for-us work — and we look for demonstrated experience, accountability, and trust within the communities this work serves. People with histories of migration, incarceration, sex work, disability, neurodivergence, and economic marginalization are not just welcome — they are the people this work was built for and with.
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 — TGI people with deep, community-rooted experience navigating behavioral health, substance use, trauma, and gender-affirming care systems. They provide 1:1 peer support, groups, navigation, and case management under the Medi-Cal Peer Support benefit.
We value lived experience, peer practice, trust in community, and demonstrated ability to support TGI people navigating behavioral health, recovery, and systems barriers. Shared lived experience is highly relevant to effective peer support — and we evaluate applicants holistically based on community-rooted experience, cultural fluency, and role fit.
Peer Specialists at RTF are paid staff. We are committed to equitable compensation tied to our Medi-Cal peer contracts and grant funding, and we will be honest with you about timelines, 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.
When you reach out, please address these three questions
"RTF serves trans, gender-nonconforming, and intersex communities facing racism, disability, criminalization, migration stress, and other structural harms. Describe your experience working in or being accountable to these communities, and how that informs your peer support practice."
"Our work is rooted in anti-racism, liberatory practice, and by-us-for-us principles. What does 'by us for us' mean to you in the context of peer support work?"
"Describe a time when your lived experience of navigating systems that were not built for you directly informed how you showed up for someone else."
A few sentences per question is enough. No formal format required. We read every response.
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, consultative input, SUD risk education for our post-surgery support track, and occasional co-facilitation. All such arrangements are governed by written contractor agreements that make operational separation explicit.
We strongly encourage clinicians and practices with deep trust, accountability, and demonstrated experience in BIPOC TGI communities to inquire. All TGI-affirming practitioners are welcome. Cultural fluency and community accountability are what we're looking for — not credentials alone.
Clinical partners remain fully independent. You hold your own license, your own supervision, and your own liability insurance. You are not employees of RTF. You are not our supervising entity. All partnerships are governed by written independent contractor agreements that clearly define scope, compensation, and professional boundaries. What we are building together is a genuine collaboration — peer-led at the center, with specialist expertise woven in where it adds most.
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
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.
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.
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, and does not provide medical, nursing, psychotherapy, or SUD treatment services directly — unless and until separately licensed to do so. All clinical work is provided by partners operating fully under their own independent credentials.
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.
Join the Peer Team
Email us with your responses to the three screening questions listed in the section above. A few sentences per question is enough. Tell us who you are, what you've navigated, and what brings you to this work.
Open to all TGI people with lived experience. Applicants with deep lived or practice-based experience in communities impacted by racism, migration, criminalization, disability, neurodivergence, and economic marginalization are strongly encouraged to apply. No formal job history required.
Express Interest →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. Clinicians and practices with deep experience, trust, and accountability in BIPOC TGI communities are strongly encouraged 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.