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Boston Health Care for the Homeless Program Milieu/Behavioral Manager and Harm Reduction Specialist in Boston, Massachusetts

Our dedicated clinical and non-clinical staff works hard to bring BHCHP?s mission alive. To do that, an environment of dignity and respect where patients and staff feel safe and welcomed is vital.

The Milieu/Behavioral Manager, in collaboration with the security staff and a multidisciplinary team, is responsible for creating such an environment. You will greet patients when coming into the building to help them navigate an array of services across the program. Given the complexity of the environment, you will help identify patient concerns and needs to determine the most appropriate services. As a Harm Reduction Specialist, you will also help identify patients under the influence of substances and work in conjunction with security and/or medical staff to avoid behavioral escalations and keep everyone safe. You are a compassionate and self-motivated individual who embraces the mission of BHCHP and is committed to delivering high-quality therapeutic understanding, counsel, and support to individuals who are heavily sedated after using drugs. You will apply harm reduction services to individuals who, having engaged in drug use, are at risk of harm from drug overdose. You will collaborate in a team environment to prevent harm, support overdose prevention, and provide individual and group-level interventions to reduce disease transmission and increase access to care and treatment.

Hours: Full time, Monday ? Friday 7:30 am ? 4 pm


  • Work as part of a multidisciplinary team to assure the provision of appropriate services.

  • Greet patients in the lobby as they arrive and assess needs for various services, such as case management, nurse triage, appointments, need for use of phone, etc.

  • Assist security staff in realizing a safe and dignified space through de-escalation of conflict and management of lobby, clinic/pharmacy waiting areas, and front sidewalk.

  • Monitor patients in the lobby and clinic/pharmacy waiting areas for adherence and compliance with program rules.

  • Collaborate and communicate consistently and effectively with team members to ensure events, issues, and/or problems in the assigned areas are documented.

  • Conduct street-level outreach and participant engagement initiatives; assist in maintaining positive community relations.

  • Serve as a resource to staff for harm reduction techniques, advocacy, and knowledge.

  • Provide case management support for Harm Reduction work.

  • Attend and participate in SPOT Team debriefings, incident reviews, meetings, and training as required.

  • Act as a role model for patients by demonstrating appropriate professional boundaries with patients and staff; respond to patient requests in a professional and courteous manner.

  • Respond appropriately to emergencies by contacting appropriate staff and interacting with police, fire, and medical personnel as needed.

  • Adhere to patient confidentiality standards/policies.

  • Other duties as assigned.


  • BA/BS preferred, especially one which is behavioral/social services related; Experience working with people experiencing homelessness, behavioral health issues, and/or substance use, 3-5 years preferred

  • Knowledge of the network of services available to homeless persons, and experience working with homeless persons preferable; Commitment to harm reduction and knowledge of harm reduction strategies.

  • Self-directed, motivated, and flexible with the ability to work independently and as part of a team. Strong organizational, interpersonal, and written and verbal communication skills. Strong problem-solving skills required.

  • Demonstrated interest in working with an underserved population.; Knowledge with Motivational Interview and Trauma-Informed Care models.

  • Narcan training preferred.

  • Bilingual in English/Spanish preferred.

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

An Equal Opportunity Employer.