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Harm Reduction Counselor Jobs (NOW HIRING)

... abuse counseling, and other essential supports each year. The caring, individually tailored ... Reporting to the Assistant Program Director, the Harm Reduction Specialist for S2H Manhattan ...

... abuse counseling, and other essential supports each year. The caring, individually tailored ... Reporting to the Assistant Program Director, the Harm Reduction Specialist for S2H Queens will be ...

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Harm Reduction Counselor information

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How much do harm reduction counselor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for harm reduction counselor in the United States is $23.47, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $26.20 per hour, depending on experience, location, and employer.

What are some of the main challenges harm reduction counselors face when building trust with clients?

Harm Reduction Counselors often work with individuals who may have experienced stigma or negative interactions with healthcare systems, making it challenging to establish trust. Building rapport requires patience, non-judgmental listening, and cultural sensitivity. Counselors must respect clients' autonomy and choices while providing support and resources, which can sometimes be a delicate balance. Consistent communication and demonstrating reliability over time are key strategies to overcome these challenges and foster a supportive relationship.

What is the difference between Harm Reduction Counselor vs Substance Abuse Counselor?

AspectHarm Reduction CounselorSubstance Abuse Counselor
CredentialsOften requires certification in harm reduction or related fields, some states require licensureTypically requires a state license or certification in substance abuse counseling
Work EnvironmentCommunity clinics, outreach programs, harm reduction centersRehabilitation centers, outpatient clinics, hospitals
Industry UsageFocuses on reducing negative consequences of drug use, often in non-judgmental settingsFocuses on treating substance dependence and recovery

Harm Reduction Counselors and Substance Abuse Counselors share overlapping credentials and work environments, but their approaches differ. Harm Reduction Counselors emphasize minimizing risks associated with drug use, often working in community-based settings, while Substance Abuse Counselors focus on treatment and recovery in clinical environments.

What is a harm reduction counselor?

A Harm Reduction Counselor is a professional who works with individuals who use drugs or engage in other high-risk behaviors, helping them reduce negative health and social consequences. Rather than focusing solely on abstinence, harm reduction counselors offer practical strategies to minimize risks, such as providing education about safer use, connecting clients with resources, and supporting their goals, whether that is reduced use or eventual abstinence. They often work in community health organizations, clinics, or outreach programs, and use a nonjudgmental, client-centered approach.

What are the key skills and qualifications needed to thrive as a harm reduction counselor?

To thrive as a Harm Reduction Counselor, you need a solid understanding of substance use, harm reduction principles, and often a background in social work or counseling, with relevant certifications preferred. Familiarity with case management systems, data collection tools, and knowledge of community health resources are commonly required. Exceptional listening skills, nonjudgmental communication, and cultural competency help build trust and rapport with clients. These skills are crucial for effectively supporting individuals, reducing stigma, and connecting clients to the services they need for safer choices and improved well-being.
More about Harm Reduction Counselor jobs
What states have the most Harm Reduction Counselor jobs? States with the most job openings for Harm Reduction Counselor jobs include:
What job categories do people searching Harm Reduction Counselor jobs look for? The top searched job categories for Harm Reduction Counselor jobs are:
Infographic showing various Harm Reduction Counselor job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% In-person job distribution, with an average salary of $48,812 per year, or $23.5 per hour.

Counselor, Harm Reduction Services

Community Health Action of Staten Island

Staten Island, NY • On-site

$22.25 - $30/hr

Full-time

Posted 2 days ago

New


Job description

Description

Community Health Action of Staten Island (CHASI) drives dramatic improvements in the health of New Yorkers by feeding people who are hungry, healing families broken apart by violence, and bridging the gaps between people and the compassionate health care they deserve. CHASI serves the most vulnerable individuals, families, and communities with critical services and programs. CHASI provides outreach, education, prevention, and direct support services for populations most affected by health disparities - the poor and working poor, low income people with chronic illnesses, persons with criminal justice involvement, substance users, domestic violence survivors, people of color, and the LGBTQ community.


POSITION SUMMARY:

The Harm Reduction Counselor is part of the Harm Reduction/Behavioral Health Department which offers support for people with a history of substance use from a harm reduction model. The Counselor conducts outreach to drug using populations to engage persons in services, provides individual education to reduce health-related harm from injection and other drug use, conducts sterile syringe exchange, trains on opioid overdose reversal, and delivers HIV and hepatitis C (HCV) counseling and testing. The Counselor works in the community, on CHASI's mobile health units, and in office-based settings to reach long-term and newer substance users, to partner with them as they set their own goals for improving their health and well-being, and to help them navigate service systems to achieve those goals. The Counselor also facilitates opioid use disorder/substance use disorder groups using the principles of Harm Reduction.


DUTIES & RESPONSIBILITIES:

  • Conduct street outreach and community presentations to engage and inform drug using individuals about harm reduction interventions.
  • Conduct harm reduction-oriented individual and group education encounters with drug users to promote the consistent use of sterile syringes and safe collection of used syringes. 
  • Distribute naloxone kits to reverse opioid overdose and provide group and individual trainings on their correct use. 
  • Conduct HIV and HCV counseling, testing, partner notification and linkage services, in accordance with standards set by NYS Department of Health/AIDS Institute and CHASI. Attend trainings and monthly technical assistance meetings to stay current on best practices.
  • Provide information, referral, navigation, and coordination assistance that links individuals to health and human services responsive to their individually expressed needs and interests.
  • Collaborate with harm reduction staff and other CHASI staff on the identification of new venues for outreach and service provision, trends in local drug use, and service providers that are drug user friendly.  
  • Facilitate or co-facilitate harm reduction education or support groups for substance using individuals both in a clinical and non-clinical style.  
  • Have one on one sessions with clients, when indicated. 
  • Lead CHASI's efforts regarding Medicaid-reimbursable harm reduction services.  
  • Accurately complete documentation of service provision using hard copy tools and electronic data systems.
  • Track inventory of harm reduction supplies and ensure that all CHASI sites providing harm reduction services are stocked. Order harm reduction supplies as needed.
  • Oversee "sharps containers" and assist clients in their use. Facilitate pick-up of sharps by Citiwaste or other firm chosen by senior management. 
  • Provide administrative and/or front-desk support on a periodic basis. 
  • Complete internal and external training to maintain knowledge and skills related to harm reduction, culturally competent service delivery, and other job-relevant topics.
  • Actively participate in staff meetings and other agency activities.  
  • Encourage a sense of commitment, camaraderie, and accountability among team members by modeling these qualities.
  • Perform all functions in alignment with CHASI's Mission, Vision, and Core Values.
  • Other duties as assigned.


Requirements

QUALIFICATIONS:

  • At least 2 years of experience working with substance using persons and diverse populations.
  • CRPA, CASAC, or CASAC -T certification preferred.
  • High school diploma or GED required. Bachelor's degree preferred.  
  • Conversant with harm reduction practices, philosophy, and interventions.  
  • Ability to carry out both independent and collaborative responsibilities.  
  • Demonstrated ability to contribute positively in a team-based work environment.
  • Demonstrated proficiency in the use of office computer applications, including Microsoft Word, Excel, and Outlook.
  • Strong oral and written communications skills; ability to manage communications tactfully and professionally with a high attention to detail and accuracy.

TO APPLY:

E-mail your resume to HRTeam@chasiny.org; include the job title in the subject line.

CHASI is an equal opportunity employer and is committed to hiring and supporting a diverse staff. People of color, LGBTQ, women, and people with disabilities strongly encouraged to apply. All qualified applicants will be afforded equal employment opportunities without discrimination because of race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, disability or marital status.


Location: 166 Port Richmond Ave., Staten Island, NY 10302

Position Status: Full-Time FLSA Status: Non-Exempt

Pay Rate: $50,000 per annum excellent benefits package