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Needle Exchange Jobs in Oregon (NOW HIRING)

New Narrative

Community Case Manager

Portland, OR · On-site

$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 ...

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 ...

medstaffingnetwork

Surgical Tech

Corvallis, OR

Effective written and oral communication skills to explain complex issues, exchange information ... Knowledge of sizes and applications of needles and suture types for different procedures. Knowledge ...

Ambulatory Pharmacy

Pharmacy Technician 3

Gresham, OR · On-site

$18.50 - $22.50/hr

... cartfill exchange. Person working this shift is responsible for ensuring accountability and ... Skill at manipulating small objects, e.g., needles, syringes, ampules. * Ability to use mechanical ...

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How much do needle exchange jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for needle exchange in Oregon is $18.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $19.33 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.

What are popular job titles related to Needle Exchange jobs in Oregon?

For Needle Exchange jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Needle Exchange jobs in Oregon look for?

The top searched job categories for Needle Exchange jobs in Oregon are:

Needle Exchange jobs near you
Infographic showing various Needle Exchange job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $39,260 per year, or $18.9 per hour.

Community Case Manager

New Narrative

Portland, OR • On-site

$27/hr

Part-time

Re-posted 3 days ago

Job description

At New Narrative, we believe mental health care is community care. As a nonprofit organization, we partner with individuals to promote healing, housing stability, and long-term wellness through compassionate, equitable support.
If you're passionate about community impact, we invite you to join our team.
Shift: Saturday-Monday, 7:00am - 3:00pm
Pay Rate: Starts at $27/hr
Purpose: (General description and summary)
The Community Case Manager is a member of the Motel Support Team: Cultivating Community that provide outreach and supplemental support to participants who are living in emergency motel placements in building skills and resource connections needed to move toward their next housing step. The Community Case Manager will provide services which include: 1:1 skills training, crisis prevention and de-escalation, community navigation and integration, case management and advocacy, coordination of transportation (ie. Ride to Care, Trimet LIFT, staff transport, etc.), collaborative meetings with treatment teams and other external providers, and referring to community based mental health and substance use disorder providers if needed. Through an integrated lens, the program aims to minimize participant hospitalizations (emergency department and psychiatric admissions), increase contact between the participant and their respective mental health, substance use service providers, or other providers/supports involved in care, and aid linkage to transitional or more permanent housing. This job requires to be on site to provide services.
Accountabilities: (Responsibilities of the job)
Supportive Skills Training
  • Providing direct support in one-on-one settings within the assigned motel and community based skills training.
  • Provide group skills training opportunities and facilitation of opportunities.
  • Assess the functional level and program needs of each participant, providing skills training as indicated.
  • Provide individual and group skills training opportunities at motel as well as in the community, including but not limited to: ADLs, iADLs, coping, regulation, safety, interpersonal, community integration, community navigation, etc. to assist in movement toward identified goals.
  • Provide support in milieu setting as indicated and opportunities arise.

Engagement and Collaboration
  • Provide skills training, advocacy, case management, community navigation to support caseload participants in working towards their identified goals.
  • Willing to meet and engage with people "where they are," including their environment and readiness for change.
  • Meet consistently with participants within the motel setting and community
  • Providing opportunities for group skills training through opportunities for socialization, and community integration.
  • Maintain professionalism in encounters with participants and other providers.
  • Must be able to assist in de-escalation and crisis as needed

Case Management
  • Ability to work in collaboration with emergency services (ie. police, Project Respond, Multnomah County Crisis, Behavioral Health Unit) as needed.
  • Ability to work in collaboration with acute care settings if necessary.
  • Provide support, assistance, and advocacy for linkage to resources and maintenance of resources.
  • Coordinate with providers and resources involved in participant goals and care consistently, including but not limited to weekly contact and care conferences as indicated.

Crisis Prevention/De-escalation/Harm Reduction
  • Use crisis prevention approach to decrease use of crisis services, Project Respond, EMS, police, hospitalization, etc.
  • Ability to work in collaboration with emergency services (ie. police, Project Respond, Multnomah County Crisis, Behavioral Health Unit)
  • Must be able to assist in de-escalation, crisis prevention in community based settings.
  • 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 documentation and data entry as required by contract and program needs (ie. Electronic Health Record, trackers, intake, discharge, etc.) within 48 hrs.
  • Utilize centralized scheduling to account for participant appointments, meetings, training, etc.
  • Utilize outcomes based care tools in order to provide outcome informed care.
  • Ensure timely completion of all required paperwork.
  • Maintain a regular work schedule, including some evenings, weekends, and holiday depending on schedule.
  • Work to increase level of cultural sensitivity, awareness and competency regarding Person-Centered Services.
  • Attend and positively participate in required team, agency, and interdisciplinary meetings.
  • Use trauma-informed, person centered approach and language and participate in ongoing training and education.

Description of other duties:
  • Perform other duties as assigned by supervisor.
  • Provide support to teammates as indicated, ie. Milieu support, front desk support, environmental safety, etc.
  • Participate in on-call after hours phone rotation.
  • Complete all other assignments in a timely manner as requested by supervisor.

Core Competencies:
  • Communication: Clear, direct and concise. Keeps people informed. Listens effectively to others.
  • Teamwork: Effective at working in team situations.
  • Utilizing available resources for personal wellness: Communicates with Supervisor or other designated New Narrative personnel to meet personal wellness and safety needs.
  • Adaptability: Ability to modify or change service delivery as needed to best fit the needs of program participants and New Narrative values
  • Analytical thinking: Attention to detail over sustained periods of time.
  • Dependability: Counted on to follow through on commitments: at work each day and on time; work completed in a timely fashion.
  • Aptitude: Ability to comprehend and apply new ideas, processes and procedures, or training.
  • Demeanor: Remaining calm in crisis situation, empathetic, unbiased, non-judgmental and excellent peer model skills.

Supervision Received:
  • Receive regular supervision from the Motel Program Manager, seeking additional supervision whenever necessary.
  • Participate in interdisciplinary team meetings and group supervision as required.

Other General Expectations:
  • Attend and positively participate in required meetings.
  • Uphold New Narrative Mission and Values in all interactions.
  • Ability to work as a team member, remain flexible and establish priorities as a group.
  • Ability to work independently when necessary.
  • Ability to receive direction from supervisor and engage in collaborative dialogue.
  • Ability to learn and utilize new skills.
  • Ability to display a non-judgmental attitude.
  • Creative, innovative and progressive problem-solver.
  • Ability to take initiative on new tasks.
  • Ability to multi-task and remain calm in a busy and stressful environment.
  • Proficiency in Microsoft Office software (Word, Excel, PowerPoint, and Outlook)
  • Pursue ongoing development of skills and competencies, including:
  • A minimum of 12 hours per year continuing education in the area of mental health/dual recovery;
  • 4 hours annual training in cultural competence;
  • Follow all New Narrative policies, procedures, and protocols.
  • Follow through on all directives and instructions.
  • Maintain CPR and First Aid Certificate.
  • Must be able to pass a criminal history check through the Department of Human Services.

Qualifications:
  • QMHA not required, but preferred
  • CADC preferred, but not required
  • Minimum two years of experience working with high acuity population
  • Minimum two years working in community based settings preferred
  • Incumbents with a substance use disorder must be sober and free of substance use for one year preceding date of hire, and must maintain this sobriety.
  • Must maintain current Oregon driver's license and insurance.
  • Must have a high school diploma or equivalent.

All of our job openings are located in Portland, Oregon, and the surrounding metro areas.

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