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Boston Health Care for the Homeless Program Harm Reduction Technician in Boston, Massachusetts

Who We Are:

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 12,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 60 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.

To learn more about working at BHCHP, watch our video Please Click Here ( .

Job Summary: 

Hours:  Full-time; 40 hours per week,  9:30 am - 7:30pm with option for 12-hour shifts

Boston Health Care for the Homeless Program (BHCHP) is seeking a full-time Harm Reduction Technician (HRT) to work daytime and evening hours in our harm reduction tech roles at the Barbara McInnis House, our flagship medical respite facility in Boston. Based on the needs of the Program, Technicians may be required to be available at other harm reduction locations as needed, including but not limited to:

  • The Engagement Center Clinic, located within a drop-in day center for homeless individuals of Boston

  • SPOT (Supportive Place for Observation and Treatment), our sedation monitoring program, including daytime and overnight coverage

  • The RIZE Room (a Harm Reduction site located at St. Francis House)

  • Outreach, working in pairs to provide care to persons living on the streets

    The ideal candidate for this role is a compassionate and self-motivated individual who embraces the mission of BHCHP and is committed to delivering high quality clinical care utilizing a harm reduction approach in a medical respite facility.


    Direct Clinical Care:

  • Provide direct clinical care to ensure that all needs of the patients are met, adhering to established policies and procedures, as well as Department of Public Health regulations

  • Provide supportive and non-judgmental clinical support for patients with substance use disorder in a manner consistent with harm reduction principles

  • Work closely with the medical and interdisciplinary team to assure that patients are receiving high quality and comprehensive care

  • Provide accurate assessment of sedation and documentation of clinical intervention as appropriate

  • Guide risk reduction counseling and connection to treatment programs

  • Update and maintain accurate treatment records, flow sheets and other documentation


  • Maintain a direct line of communication with harm reduction staff, timely communication with clinical and BH staff regarding change in patient clinical presentation

  • Maintain a professional approach

  • Maintain the standards of accurate and complete recording and reporting, ensuring that the clinical record for each patient is current and accurate

    Team Based Collaboration:

  • Function as part of a team that includes clinical staff, behavioral health social workers, and case managers


  • Commonwealth of Massachusetts EMT Certification

  • Minimum of 2 years EMT or paramedic experience strongly preferred

  • Strong assessment skills

  • Understanding of substance use disorder and behavioral health issues

  • Interest and experience with underserved population preferable

  • Experience in understanding the effects and management of sedating medications and polysubstance use

  • Individuals with lived experience encouraged to apply


    BHCHP full time employees are eligible for our competitive time off policy of 4 weeks’ vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of seven thousand five hundred dollars added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.

    Does this amazing opportunity interest you? Then we'd love to hear from you.

    As an Equal Opportunity Employer, BHCHP pledges not to discriminate against and encourages those from underrepresented and underserved backgrounds to apply, particularly Black, Indigenous, and People of Color (BIPOC), LGBTQIA identifying, first generation college students and adults without a college degree, Bilingual and Bicultural persons; and individuals from low economic backgrounds.

    Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

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