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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 Queens will be ...

... 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 ...

... 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 ...

HIV 101, Viral Hepatitis 101, Motivational Interviewing, LGBT Sensitivity, Syringe Exchange and Harm Reduction Training, HIV confidentiality and risk-reduction counseling, Deescalation * Culturally ...

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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 11, 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 1% As Needed, 76% Full Time, 21% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $48,812 per year, or $23.5 per hour.

$55K - $60K/yr

Full-time

Medical, PTO

Re-posted 16 days ago


Services for the UnderServed rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

USD $55,000.00/Yr.
USD $60,000.00/Yr.
  1. SCOPE OF ROLE:
The Harm Reduction Specialist will provide engagement and support services, particularly to program participants around drug and alcohol use, sexual health and self-harm, using a harm reduction model. The emphasis is on providing non-judgmental, non-coercive services and resources to individuals engaging in risky behaviors.  In addition, the Harm Reduction Specialist will provide consultation, training, and support to program staff in their work with program participants engaging in risky behaviors.   

 

  1. ESSENTIAL DUTIES & RESPONSIBILITIES:
  • Using the model of harm reduction, assess the needs of program participants for services, including outreach, counseling, education, referral, etc., at program site and plan services accordingly.
  • Develop and support strategies to meet the needs of individuals in need of support, including individuals using drugs/alcohol, people living with HIV/AIDS, individuals involved in sex work/survival sex, people with diabetes, individuals at risk for violence, etc.
  • Attend and participate in Harm Reduction Committee meetings, as scheduled.
  • Contribute to agency-wide projects of the Harm Reduction Committee, to support the infusion of harm reduction throughout the agency.
  • Provide training and education on the harm reduction model, including HIV prevention strategies, for staff and program participants.
  • Provide service coordination to assigned program participants.
  • Provide recovery-oriented support services and outreach to assigned program participants, as defined by program and contractual requirements.
  • Develop and assist in implementing person-centered service plans determined by goals of program participants, including reviewing service plans with program participants, identifying progress and revising plan as needed.
  • Produce and maintain thorough, accurate and timely documentation, including charts and documentation in service records of interactions with program participants, services provided, important information and/or events, and contacts with other agencies and service providers, as required by agency policies, and relevant contracts and regulatory agencies.
  • Assist program participants by advocating for quality care from external service providers, including educating providers on special issues, etc.
  • Assist program participants in maintaining apartment free from unsanitary conditions and safety hazards, utilizing individualized strategies, e.g. teaching, feedback, demonstration and other forms of hands-on interventions, as needed.
  • Maintain a resources list and provide referrals for treatment for mental health support, substance use, and health problems, as directed by program participants.
  • Assist program participants with conflict resolution, as necessary.
  • Provide outreach to program participants who are not indicating their goals or who are not engaged, to offer services to them, and to incorporate outreach in their service plans.
  • Provide crisis intervention, as necessary.
  • Provide support and training on skills-building, including assertiveness, self-advocacy, socialization, and other related issues.
  • Maintain quality service by establishing and reinforcing program/agency standards in all interactions with program participants.
  • Create or maintain a special project each year with an emphasis on harm reduction.
  • Coordinate work orders with operations staff regarding apartment repairs and/or program participant requests.
  • Attend and participate in supervision, meetings and training sessions, as required and as scheduled.
  • Provide holiday, evening and weekend coverage, as necessary.
  • Provide coverage for non-assigned program participants, as needed.
  • Perform other duties as assigned.
  • REQUIREMENTS:

REQUIRED EDUCATION AND EXPERIENCE

  • Bachelor’s degree in Social Work or a related human services field or CASAC.
  • At least two years of experience working within a harm reduction model.
  • Experience working with the homeless population preferred.
  • Thorough understanding of harm reduction.
  • Must be fingerprinted and cleared by the New York State Justice Center.
  • Skilled in articulating program goals.
  • Skilled in conflict mediation/negotiation and have an assertive approach to problem solving.
  • Ability to transfer knowledge and skills in areas such as, but not limited to: engagement, harm reduction, motivational interviewing, conflict mediation
  • Demonstrated leadership skills and ability to work as part of a team.
  • Excellent oral and written communication skills.
  • Computer literate in Microsoft suite, skill sets in Word, Excel, and Outlook.
  • Be creative and flexible.
  • Show initiative and be responsible for follow through.
  • Ability to maintain confidential information, as related to position.
 

REQUIRED EDUCATION AND EXPERIENCE

  • Bachelor’s degree in Social Work or a related human services field or CASAC.
  • At least two years of experience working within a harm reduction model.
  • Experience working with the homeless population preferred.
  • Thorough understanding of harm reduction.
  • Must be fingerprinted and cleared by the New York State Justice Center.
  • Skilled in articulating program goals.
  • Skilled in conflict mediation/negotiation and have an assertive approach to problem solving.
  • Ability to transfer knowledge and skills in areas such as, but not limited to: engagement, harm reduction, motivational interviewing, conflict mediation
  • Demonstrated leadership skills and ability to work as part of a team.
  • Excellent oral and written communication skills.
  • Computer literate in Microsoft suite, skill sets in Word, Excel, and Outlook.
  • Be creative and flexible.
  • Show initiative and be responsible for follow through.
  • Ability to maintain confidential information, as related to position.
 

S:US IS AN EQUAL OPPORTUNITY EMPLOYER 

Join a team of employees who care about the wellbeing of others. We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on our Benefits Page and see how S:US invests in you. 

We believe in fostering a culture built on our core values: respect, integrity, support, maximizing individual potential and continuous quality improvement. 

All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, age, sexual orientation, national origin, veteran status, or genetic information and including all other statuses protected by Federal, State and Local laws. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Leave Team at MyMedicalLeave@sus.org. 


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