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Needle Exchange Jobs (NOW HIRING)

Duke Health

Cytopathology Opportunity

Durham, NC · On-site

Applicants should have experience and/or training in performing fine needle aspiration biopsies ... To achieve this exchange, it is essential that all members of the community feel secure and welcome ...

Duke Health

Cytopathology Opportunity

Durham, NC · On-site

Applicants should have experience and/or training in performing fine needle aspiration biopsies ... To achieve this exchange, it is essential that all members of the community feel secure and welcome ...

cxb

Harm Reduction Specialist

New York, NY · On-site

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

cxb

Harm Reduction Specialist

New York, NY · On-site

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

cxb

Harm Reduction Specialist

Manhattan, NY · On-site

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

TUUCI

Be Seen First

Industrial Sewer - Costura

Hialeah, FL · On-site

$14 - $16/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Operating industrial sewing machines, single needle, double needle, and/or Merrow (overlock), to ... We work in a fast-paced, fun environment where the exchange of ideas and professional growth are ...

Heluna Health

Research Associate

San Francisco, CA · On-site

$32.96/hr

HIV clinics, transgender health clinics, behavioral health clinics, community-based organizations, needle exchanges, sex clubs and other environments. Applicants must also have experience with street ...

Heluna Health

Research Associate

San Francisco, CA · On-site

$32.96/hr

HIV clinics, transgender health clinics, behavioral health clinics, community-based organizations, needle exchanges, sex clubs and other environments. Applicants must also have experience with street ...

Direct Jobs

Parkview- NICU-Neonatologist

Fort Wayne, IN · On-site

$250 - $350/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Intubations, umbilical venous catheters, umbilical arterial catheters, needle thoracentesis, chest ... exchange transfusions, etc. Benefits * Highly competitive salaries plus annual incentive ...

Breaking Ground

Harm Reduction Specialist

New York, NY · On-site

$25.85/hr

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

Breaking Ground

Harm Reduction Specialist

New York, NY · On-site

$25.85/hr

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

Breaking Ground

Harm Reduction Specialist

Brooklyn, NY · On-site

$25.85/hr

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

Breaking Ground

Harm Reduction Specialist

Manhattan, NY · On-site

$25.85/hr

Mobile Provider Syringe Exchange; developing, implementing, and facilitating in-house group ... Ensure all staff are aware of needle stick prevention methods and agency policy and procedure ...

Cynet locums

Pediatrics Physician

Lawrenceburg, TN · On-site

$159K - $206K/yr

Needle Pneumothorax Decompression * X-ray & EKG Interpretation * Exchange Transfusion * Minor Laceration Suturing * Circumcision * Swallow Studies Additional Information: * Malpractice Insurance ...

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Needle Exchange information

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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.

Cytopathology Opportunity

Duke Health

Durham, NC • On-site

Full-time

Re-posted yesterday

Duke Health rating

7.3

Company rating: 7.3 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

307th of 888 rated healthcare providers

Job description

Please Note: In order to be considered for this position, you must attach your CV, select SUBMIT APPLICATION, and then complete the Duke required information on the following page.
Duke University Hospital, Department of Pathology seeks Pathologists to fill a position in Cytopathology with a preferred surgical pathology subspecialty.
Applicants should be fellowship trained and board eligible/certified in cytopathology. Experience or interest in a surgical pathology subspecialty field is desirable. Applicants should have experience and/or training in performing fine needle aspiration biopsies. Experience in ultrasound-guided FNAB is a plus. Preferred, but not required, surgical pathology fields of interest or training include head/neck/endocrine, gynecologic, orthopedic, and breast pathology. Board certification in anatomic pathology and eligibility for licensure in the State of North Carolina are required.
Competitive candidates are those highly committed to patient care, a quality practice, and teaching with a team-building attitude and excellent organizational and interpersonal skills. They should seek to advance the field of pathology through original and collaborative scholarship. Academic rank and salary will be commensurate with training and experience.
Duke Cytopathology and Surgical Pathology Divisions: Diagnostic responsibilities include covering general frozen sections. Participation in our autopsy service. Diagnostic responsibilities for the cytopathologist include the full range of exfoliative cytology and fine needle aspiration biopsies, including pathologist-performed palpable and ultrasound-guided fine needle aspiration biopsies as well as rapid on-site evaluations of endoscopic, bronchoscopic, and interventional radiology specimens. Duke has a large diagnostic pathology division, and this work is supported by state-of-the-art histology, biomarker testing, molecular diagnostics, and cytogenetics laboratories, world-class bioinformatics and core facilities. An excellent training program with fellows, residents, and medical students complements the clinical functions.
Duke University School of Medicine provides an excellent environment for professional and academic career development. There is a broad referral foundation that drives a busy outreach and consultation service.
Visit Cytopathology/Duke Department of Pathology and Anatomic Pathology/Duke Department of Pathology
The greater Triangle area of Raleigh, Durham, and Chapel Hill, has a population of more than two million residents that offers diverse opportunity. From urban loft living to suburban and rural family homes with acreage - there are options for every lifestyle. The Research Triangle Park (RTP) lies in the midst of the area, a globally prominent research and development center conceived around the main academic centers - Duke University, University of North Carolina, and North Carolina State University. This trio of leading universities, combined with the RTP, has helped create a region that is culturally diverse, economically resilient, and nationally recognized as a wonderful place to live. To learn more about the Duke and Greater Triangle communities, visit https://www.discoverdurham.com/
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
PLEASE NOTE: To be considered for this position, please attach your CV, select SUBMIT APPLICATION, and complete the application questions.

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