Treatment Program Specialist/ Milieu Manager
$22.25 - $35.6 per hourBoston Health Care for the Homeless Program
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 10,000 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 30 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. Job Summary:
Hours: Full-time, 40 hours per week, Monday-Friday, 8:00am-4:30pm
Union: Yes
Union Name: 1199SEIU
Patient Facing: Yes The Treatment Program Specialist / Milieu Manager is a compassionate, trauma-informed professional who supports patients with substance use disorders, co-occurring mental health conditions, and complex medical needs through a harm reduction and patient-centered approach. This role screens patients for treatment program referrals, coordinates substance use treatment placements, develops individualized discharge plans, and helps patients overcome barriers to recovery. The Treatment Program Specialist also plays a key role in maintaining a safe and therapeutic respite environment by providing milieu management, utilizing trauma-informed de-escalation techniques, responding to behavioral concerns, and promoting patient engagement. This position collaborates closely with Behavioral Health, Nursing, Medical Providers, RN Care Managers, Case Management, Security, and community treatment programs while participating in daily interdisciplinary rounds, team huddles, and discharge planning. Responsibilities:
- Conduct biopsychosocial and substance use assessments to determine patients' treatment needs and readiness for change.
- Utilize trauma-informed care, Motivational Interviewing, harm reduction, and recovery-oriented approaches to engage patients throughout their recovery journey.
- Coordinate referrals and admissions to community treatment programs, including ATS (detox), CSS, TSS, residential treatment, halfway houses, sober homes, low-threshold programs, MAT programs, and other recovery services.
- Develop individualized discharge plans in collaboration with Nurse Care Managers, Behavioral Health Clinicians, Medical Providers, Case Managers, Recovery Coaches, Unit Secretaries, and community partners.
- Assist patients with treatment applications, required documentation, transportation, and transition planning.
- Maintain communication with community treatment providers regarding bed availability, admission requirements, and continuity of care.
- Promote a safe, respectful, and therapeutic milieu by utilizing trauma-informed de-escalation techniques, crisis intervention, culturally responsive communication, and patient-centered engagement.
- Participate in interdisciplinary rounds, team huddles, case conferences, and discharge planning meetings.
- Build collaborative relationships with community treatment providers and recovery organizations.
- Complete timely and accurate documentation in the electronic medical record (EMR).
- Educate patients on treatment options, overdose prevention, naloxone, relapse prevention, harm reduction strategies, and recovery resources.
- Support BHCHP's mission by promoting patient dignity, cultural humility, self-determination, and compassionate care.
- Other duties as assigned.
- Associate or bachelor’s degree in behavioral health, Human Services, Social Work, Psychology, or a related field.
- Experience working with individuals experiencing substance use disorders, mental illness, trauma, homelessness, or complex medical conditions.
- Experience in medical respite, hospitals, shelters, community health centers, detoxification programs, residential treatment, or other behavioral health settings preferred.
- Knowledge of Motivational Interviewing, trauma-informed care, harm reduction, stages of change, and recovery-oriented care.
- Experience working within multidisciplinary teams and coordinating community-based referrals.
- Bilingual (English/Spanish, Haitian Creole, or Portuguese) strongly preferred.
- Lived experience in recovery or experience working within recovery-oriented systems of care is valued.
- The compensation ranges from $22.25 – $35.60 per hour and increases based on years of experience.
- BHCHP full-time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees.
Does this amazing opportunity interest you? Then we'd love to hear from you.
As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law.
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.
- Summary of Position The Milieu Specialist as a member of a multidisciplinary treatment team in the Intensive Treatment Residence (ITR) program for children with severe emotional and behavioral difficulties. Focus on social, recreational, and behavioral needs of children...SuggestedInternshipFlexible hoursShift work
$22.49 per hour
Peer Specialist - Program for Assertive Community Treatment Riverside Community Care is seeking aPeerSpecialist to join our community-based PACT program in the Norwood/Needham/Dedham area. PACT provides individuals referred by the Department of Mental Health or MBHP with...SuggestedHourly payPart timeFlexible hours- A therapeutic organization in Needham is seeking a Milieu Specialist to join their multidisciplinary team focused on children with severe... ...protocols. A valid driver’s license is required for transportation of children. #J-18808-Ljbffr Walker Therapeutic & Educational ProgramsSuggested
$100k - $111.39k
...Resource CentersTreatment Center Director/Program DirectorDon't miss out on this... ...efficient leader of operations for our Opiate Treatment Program. A great Treatment Center Director... ...hiring, training of clinic staffEvaluates, manages, counsels and terminates subordinate...SuggestedTemporary workLocal area- All Jobs > Prevention Specialist - Community Health Engagement program Prevention Specialist - Community Health Engagement... ...groups in substance use treatment centers and for community groups.... ...timely and accurate fashion, and manage time appropriately to allow for completion...SuggestedFull timeImmediate startFlexible hoursAfternoon shift
$20 - $24.38 per hour
## Recovery Specialist - Addiction Treatment ServicesApplylocations: Beth Israel Lahey... ....**Ryan House is a 40 bed program dedicated to helping men... ...relapse prevention, anger management, life skills training, daily... ...structure of the program milieu by monitoring client activities...Hourly payAll shiftsShift work$24 - $26 per hour
...Walker Therapeutic & Educational Programs has been a trusted partner... ...work with children, group management techniques, understanding of... ...Disciplinary Team meetings, and treatment meetings as needed, to discuss... ...Residential and Educational Milieu Services Supervises: Team of...Hourly payFull timeShift workNight shiftWeekend workAfternoon shift- Walker Residential on the Needham campus is seeking a Milieu Specialist to join a multidisciplinary treatment team for children with emotional and behavioral... ...certification within three months, plus six months of #J-18808-Ljbffr Walker Therapeutic & Educational Programs
- Walker Residential in Needham, MA is seeking a Milieu Specialist for a full-time role on their Needham campus. Under supervision, you will be part of a multidisciplinary treatment team addressing the social, recreational, and behavioral needs of children, ensuring daily...Full time
$128.6k - $192.9k
...a talented Water/Wastewater Sr. Project Manager focused on the planning and engineering... ...Wastewater experience includes over 900 treatment plants, from some of the largest and most... ...medical, dental, and vision plans, a wellness program, health saving accounts, flexible...Full timeTemporary workPart timeFor contractorsCasual workWork at officeLocal areaRemote workFlexible hours- ...Recovery Specialist / Behavioral Health Specialist – Clinical Stabilization... ...residential and outpatient treatment for individuals with mental... ..., or substance use disorders—programs that often save lives. Role... ...structure and rules. Support milieu staff with safety checks, room...Part timeWork at officeShift workNight shiftWeekend workDay shiftAfternoon shift
$21 - $25 per hour
...available. Behavioral Health Specialist – Askia Academy (Per... ...residential recovery program at The Dimock Center... ...in counseling, case management, and community reintegration... ...client support, milieu management, and daily... ...residential behavioral health treatment setting. About Dimock...Hourly payDaily paidNight shiftWeekend workAfternoon shift$99.5k - $214.4k
...of AI, and you are the future of Salesforce.This is a unique Specialist Account Executive role within the Products, Auto, Consumer, &... ...variety of benefits to help you live well including: time off programs, medical, dental, vision, mental health support, paid parental...Full time$110k - $120k
...we are and the work we do possible. Role OverviewThe Partner Program Specialist supports partner readiness and go-to-market execution for new... ...programsStrong organizational and project coordination skillsAbility to manage multiple priorities and track details effectivelyClear...Full timeWork at officeLocal areaImmediate startFlexible hours- ...Program Specialist The Program Specialist position is located in the Veterans Benefits Administration, Boston Regional Office, in the Veteran... .... The incumbent is responsible for assisting with technical management of the VR&E caseload, providing assistance to Veteran...Work at office
- City of Cambridge is seeking a Rental Housing Program Specialist to review eligibility, income certification, recertification, and program... ...compliance practices. The role coordinates with residents, property managers, developers, nonprofit partners, and City staff; provides...
- ...SSoS Program Specialist The Education Secretariat is committed to equity and valuing the unique and diverse characteristics and experiences... ...collaboration aligned to SSoS goals Project/Contract management Special projects Other duties as assigned. Based on assignment...Full timeContract workPart timeWork at officeShift work2 days per week3 days per week
- ...Job Title Program Specialist Duties Help Specific duties include: Analyzes and prepares program status reports for review at all levels. Responsible for internal controls and Division System Analysis of Operation (SAO) reports. Plans and/or accomplishes...Full timeFor contractorsLocal areaRemote workRelocation packageMonday to FridayFlexible hours
- Program Specialist The Program Specialist coordinates and monitors activities related to the development, implementation, and documentation... ...reviews of ISP documentation and records. Provide guidance to managers on documentation standards and regulatory compliance....Work at officeLocal areaFlexible hours
- ...Massachusetts, Region 1, Mission Support Division. The ideal candidate for this position will lead recruitment programs for all types of employees; oversee performance management programs; design and deliver training for employee development; and supervise employee wellness...
$25 per hour
Program Specialist page is loaded## Program Specialistlocations: Concord, NHtime type: Full timeposted on: Posted Yesterdayjob requisition... ...homes.**Responsibilities:** Work directly with the Program Manager to assist in reviewing, monitoring and participating in the...Hourly payFull timeFlexible hours- ...Partnership Specialist Our Meal Program Operations team is focused on building effective and scalable offerings while continuing to ensure that our customers are thrilled with our restaurant supply, and that our restaurants are happy, growing, and engaged as new demands...Remote jobPermanent employmentWork at officeVisa sponsorshipWork visaFlexible hours
$21 - $25 per hour
...Behavioral Health Specialist Acute Treatment Services (30 Hours Per Week) The Dimock Center seeks a... ...safety and support for all clients in the program Maintaining therapeutic boundaries... ...program structure Supporting milieu operations: safety checks, room searches...Work at officeNight shiftAfternoon shift$21 - $25 per hour
...Job Description Behavioral Health Specialist – Acute Treatment Services (Per Diem) Location: Roxbury... ...9-bed Acute Treatment Services (ATS) program provides medically monitored detoxification... ...conflict resolution techniques to manage challenging situations. Enforce...Daily paidFlexible hoursShift workNight shiftAfternoon shift- The Broad Institute is seeking an Operations Specialist II to provide operational support across OSEI programs. You will collaborate with the Associate Director to pilot and implement efficient practices, coordinate staff onboarding, and track budgets while ensuring timelines...Summer workAfternoon shift
$71.5k - $104k
...monitoring of patients in Office-Based Addiction Treatment (OBAT) model. Provide psychiatric care... ...the Addiction Psychiatry Treatment Program (APTP), as well as support and services... .... Position: Addiction Nurse Care Manager – Addiction Psychiatry Treatment Program...Full timeFixed term contractWork at officeImmediate startFlexible hours- Summary This position provides critical program planning, grant development and oversight... ...position is tasked with evaluating and managing the program planning and oversight needs... ...stated below: As a Transportation Program Specialist, you will Provide consultation to...Full timePart timeFor contractorsWork at officeLocal area
- ...inclusive, and supportive environment.Summary: Manages engineering and design projects related to the Metropolitan Tunnel Redundancy Program. Posting Period: 8/21/2026 to 9/3/2026... ...systems, hydraulic analysis, groundwater treatment and discharge, connections to existing...Contract workWork at officeLocal areaRemote workMonday to Friday
$49.92k - $55.12k
...community that values the ideas and contributions of our staff. The Program Manager is responsible for overseeing the administration of the... .... Familiarity with state human service systems and related treatment philosophy. Ability to communicate effectively verbally and in...Work at officeMonday to Friday- ...Specialist Account Executive (LPR) Boston, Massachusetts, United States At Axon, we're on a mission to Protect... ...) to stay current on releases, certifications, programs, and roadmaps. Asset & demo kit management: Maintain demo environments and loaner gear; coordinate...Work at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Treatment Program Specialist/ Milieu Manager. Be the first to apply!
- configuration specialist Boston, MA
- localization specialist Boston, MA
- intervention specialist Boston, MA
- investigations specialist Boston, MA
- ecommerce specialist Boston, MA
- workforce management specialist Boston, MA
- community health promotion specialist Boston, MA
- title specialist Boston, MA
- infectious disease specialist Boston, MA
- credit specialist Boston, MA


