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Needle Exchange Jobs (NOW HIRING)

Arnot Health System

PrEP Peer Navigator

Elmira, NY · On-site

$20 - $24.09/hr

Ability to help clients identify risk reduction strategies (safer sex, drug treatment, needle exchange, etc.) * Strong knowledge of HIV disease, treatments, and substance abuse issues. PREFERRED ...

Arnot Health System

PrEP Peer Navigator

Elmira, NY · On-site

$20 - $24.09/hr

Ability to help clients identify risk reduction strategies (safer sex, drug treatment, needle exchange, etc.) Strong knowledge of HIV disease, treatments, and substance abuse issues. PREFERRED ...

GLFHC

CSS, Medical Case Manager

Lawrence, MA

... needle exchange, domestic violence, employment and training, care coordination, and primary care. * Follows-up with regular contact to each active client through telephone calls, office visits ...

Bread for the City

Community Health Nurse

Washington, DC · On-site

$77K - $102K/yr

Oversees clinic's harm reduction services, including needle exchange program, vaccination/testing, and referrals to substance abuse treatment; * Assists with follow-up of patients after Emergency ...

Bread For The City

Community Health Nurse

Washington, DC · On-site

$70K - $80K/yr

Oversees clinic's harm reduction services, including needle exchange program, vaccination/testing, and referrals to substance abuse treatment; * Assists with follow-up of patients after Emergency ...

New Narrative

Community Case Manager

Portland, OR · On-site

$21.25 - $27/hr

Support harm reduction approach, linkage to resources such as, but not limited to: clean needle exchange, NARCAN, MAT, SUD services, education around harm reduction, etc. Documentation: * Complete ...

Bread For The City

Community Health Nurse

Washington, DC · On-site

$70K - $80K/yr

Oversees clinic's harm reduction services, including needle exchange program, vaccination/testing, and referrals to substance abuse treatment; * Assists with follow-up of patients after Emergency ...

New Narrative

Community Case Manager

Portland, OR

$27/hr

Support harm reduction approach, linkage to resources such as, but not limited to: clean needle exchange, NARCAN, MAT, SUD services, education around harm reduction, etc. Documentation: * Complete ...

Recovery Focus

Contribute to harm reduction initiatives including drug screening, BBV testing, immunisation and needle exchange. Mentor and support volunteers and peer mentors. Maintain accurate records and reports ...

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Needle Exchange information

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$12

$17

$27

How much do needle exchange jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for needle exchange in the United States is $17.85, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 per hour, depending on experience, location, and employer.

What is a needle exchange?

A Needle Exchange job involves working at harm reduction programs that provide clean syringes to individuals who use injectable drugs. The goal is to reduce the spread of bloodborne infections like HIV and hepatitis while offering resources for healthcare, treatment, and social services. Workers may also educate participants on safe injection practices and offer referrals to addiction treatment programs. The role requires empathy, nonjudgmental communication, and knowledge of public health practices.

What skills and qualifications are needed for a needle exchange position?

To thrive in a Needle Exchange role, you need knowledge of harm reduction principles, public health education, and safe handling of biohazard materials, often paired with training in social work or community health. Familiarity with data tracking systems, sterilization protocols, and potentially certifications such as Bloodborne Pathogens training are valuable. Strong interpersonal skills, cultural sensitivity, and nonjudgmental communication are especially important in building trust with diverse and vulnerable populations. These skills are crucial for providing effective services, ensuring safety, and supporting the overall health and well-being of program participants.

What are typical challenges faced by staff working in needle exchange programs?

Staff in Needle Exchange programs often encounter challenges such as managing high client volumes while ensuring safety protocols are maintained, and addressing the complex needs of individuals who may be experiencing addiction, homelessness, or mental health issues. Building trust and rapport can take time, as clients may be wary of authority or have past experiences of stigma. Team members work closely together and with community partners, offering referrals to healthcare, housing, or counseling as needed. This role requires adaptability and compassion, as every day can present new and unpredictable situations, but it is also highly rewarding for those passionate about harm reduction and public health.

Are there still needle exchange programs?

Yes, needle exchange programs are still active in many regions as a public health measure to reduce the spread of infectious diseases among people who use injectable drugs. These programs often employ trained staff and follow local regulations to distribute sterile needles and collect used ones. Job roles in these programs may include outreach, education, and harm reduction services.
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Needle Exchange jobs near you
Infographic showing various Needle Exchange job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $37,132 per year, or $17.9 per hour.

School Nurse RN - Contract Employee 3231

Lexington-Fayette County Health Dept.

Lexington, KY

$34.58/hr

Full-time

Re-posted 5 days ago

Job description

School Nurse RN - Contract Employee 3231

2 Full Time

37.5 hours/week for 42 weeks between August 3 and the end of school

Pay: $34.58

The School Nurse provides nursing services focusing on the prevention of illness, injury or disability, the promotion of health, and maintenance of the health of individuals and populations. The incumbent works independently, in a variety of settings to include schools, within the agency following the guidelines contained in the current Clinical Service Guide (CSG). Services in the school setting include but are not limited to the following: mandated public health and school health services that includes treatment coverage, vision screenings, immunization consultation, medication and chronic disease training and monitoring, health fairs, documentation of student visits and data entry.


The Lexington-Fayette County Health Department (LFCHD) is an independent public health agency charged with helping Lexington be well since 1904 and proudly nationally accredited since 2014. Vision: We will move Lexington toward being one of the healthiest communities in the nation. Mission: Helping Lexington be well.
Values: We commit to being...
Caring - by being thoughtful and considerate in all our interactions.
Accountable - in bringing high quality to our work.
Respectful - for all clients and for each other.
Equity - in opportunity and access.
Service - that exceeds expectations.
We are here to serve our clients and community. LFCHD provides a wide range of public health services for the community, including restaurant inspections, flu shots, HANDS visits for moms and dads, diabetes prevention/management, training to licensed childcare providers, nutrition through the Women, Infants and Children (WIC) program, school health, a needle exchange program to fight the spread of hepatitis C and HIV, and much more. Visit www.lfchd.org to learn more about LFCHD!