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Harm Reduction Counselor Jobs (NOW HIRING)

Provide motivational interviewing, harm reduction counseling, and relapse prevention techniques. * Guide onsite drug testing as appropriate. * Promote smoke-free environments and monitor Naloxone kit ...

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Harm Reduction Counselor information

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$34

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.

$65K - $75K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago


Job description

Position: Social Worker
Status: Full-Time, Overtime Exempt
Location: New Brunswick, NJ (on-site)
Salary: $65,000-$75,000 annually, plus benefits
Reports to: Program Director
Apply by: April 24. Position open until filled. Applications accepted on a rolling basis.
Apply at: njhrc.bamboohr.com/careers
Who We Are
New Jersey Harm Reduction Coalition(NJHRC) is on a mission to create a New Jersey that values the safety and dignity of all people who use drugs-and we're making it happen. Since incorporating in 2020, we've built two Harm Reduction Centers, launched a community drug checking program, and changed laws to expand syringe services and naloxone access.
NJHRC accomplishes this through direct harm reduction services across two programs-the Middlesex Harm Reduction Center(a full-service program in New Brunswick) and the Statewide Harm Reduction Center
(mail-based and digital outreach serving members across New Jersey)-as well as training and technical assistance and policy advocacy. As the Social Worker, you'll serve enrolled members of both programs, helping people coordinate care, navigate systems, response to crises.
The Opportunity:
Social Worker NJHRC is adding a dedicated, full-time Social Worker to strengthen our continuum of services for people who use drugs. This role serves enrolled members across both of NJHRC's Harm Reduction Centers-providing structured, trauma-informed care coordination, referral support, and crisis response.
Your work will look different depending on who you're serving:
  • Middlesex HRC members will receive full care coordination and referral support-comprehensive assessments, warm handoffs, appointment accompaniment, and ongoing follow-up, as needed-delivered in person at our New Brunswick drop-in center.
  • Statewide HRC members will receive lighter-touch care coordination and referral support, connecting mail-based and remote participants to services and resources across New Jersey.
  • All NJHRC members have access to crisis response and linkage support, regardless of which program they're enrolled in.

Partnership-building is central to this role-you can't do referrals without relationships. You'll actively develop and maintain a robust network of community partners across healthcare, housing, behavioral health, legal aid, and social services, so that when a participant needs something, you know exactly who to call.
This is a role for someone who understands that harm reduction is not just a set of services-it's a philosophy. You believe that people who use drugs deserve care that is compassionate, non-judgmental, and grounded in their own goals. You know how to build trust with people who have been burned by systems before, and you know how to navigate those systems on their behalf-whether someone is sitting across from you at our drop-in center or reaching out from across the state. All work will be grounded in cultural humility, trauma-informed care, and the harm reduction principle that every person is the expert of their own health.
What You'll Do
The below represents today's job. Competitive candidates will bring enthusiasm for evolving programmatic design and a genuine commitment to meeting people who use drugs where they are.
Provide direct care coordination & crisis response(45%)
  • Conduct comprehensive intake and ongoing assessments of Middlesex HRC members' health, housing, behavioral health, infectious disease, and social service needs, as needed.
  • Provide lighter-touch care coordination and referral support for Statewide HRC members, connecting remote and mail-based participants to services and resources across New Jersey, as needed.
  • Respond to crises and provide linkage support for members across both programs, including de-escalation, safety planning, and connection to emergency and ongoing services
  • Work closely with Harm Reduction Specialists to make warm handoffs and navigate participants to HIV/HCV testing and treatment, wound care, MOUD providers, mental health counseling, primary care, shelters, legal aid, social services, and benefits
  • Provide follow-up and retention support, including appointment reminders, accompaniment to appointments when requested, and ongoing engagement for high-barrier participants
  • Deliver on-site harm reduction counseling that reinforces safer-use education, overdose prevention strategies, and participant-defined goals
  • Participate in care planning with NJHRC staff and external partners to ensure coordinated, participant-centered care plans

Build & maintain community partnerships(20%)
  • Develop and sustain a robust referral network across healthcare, housing, behavioral health, legal aid, social services, and community organizations-locally and statewide
  • Establish and maintain formal and informal partnerships with FQHCs, MOUD prescribers, hospital systems, shelters, warming centers, mental health providers, legal aid organizations, and reentry programs
  • Cultivate relationships with nontraditional partners such as faith communities, mutual aid groups, libraries, encampment leaders, and grassroots organizers to expand culturally rooted access points
  • Participate in local and statewide planning bodies, including but not limited to: the Middlesex County Overdose Fatality Review Team and statewide advisory groups
  • Represent NJHRC in community spaces in ways that strengthen trust, expand our referral ecosystem, and reflect our harm reduction values

Supervise social work interns(20%) Note: Intern supervision is an anticipated responsibility that will develop over time-we expect to integrate social work interns into this role no earlier than Fall 2026. In the meantime, this bucket will flex into additional care coordination and partnership work.
  • Supervise and mentor social work interns placed at NJHRC, providing oversight, regular supervision sessions, and professional development support
  • Integrate interns meaningfully into care coordination workflows in ways that expand capacity while centering participant experience
  • Serve as a field supervisor and liaison with partner schools of social work as the internship program develops

Manage documentation & data(15%)
  • Document all participant encounters, referrals, and follow-up outcomes in Apricot, NJHRC's secure data system, using standardized intake forms and referral tracking tools
  • Track referral completion rates through structured follow-ups and use that data to identify systemic barriers requiring partner-level intervention
  • Contribute to program evaluation, including collecting participant feedback and flagging workflow issues or gaps in the referral ecosystem
  • Model strong documentation practices for interns and peers, reinforcing why good data matters for participant care and organizational accountability

Who You Are
You are a skilled, compassionate clinician who brings both the technical training and the human warmth this work demands. You don't flinch at complexity-you lean into it. You know how to hold space for someone in crisis while also managing a caseload, building partner relationships, tracking data, and following up on a dozen referrals. You believe that low-threshold, relationship-based care saves lives, and you show up every day ready to prove it.
Must-Haves
  • LSW or LCSW licensure in New Jersey. Active licensure is required at time of hire.
    • Note: Licensed mental health providers
      (e.g., LPC, LMFT) with a genuine interest in and openness to case management and care coordination work are also warmly encouraged to apply.
  • Experience in harm reduction, substance use, or related fields. You have worked directly with people who use drugs, people experiencing homelessness, or other populations navigating structural barriers to care. You understand the landscape and bring humility to it.
  • Trauma-informed practice. You have training and experience in trauma-informed care and apply it intuitively-in assessments, in conversations, and in how you design your work.
  • Care coordination and case management skills. You can conduct comprehensive assessments, develop care plans, make warm referrals, and follow through. You know how to work a fragmented system to get someone what they need.
  • Crisis response skills. You are trained and experienced in crisis intervention, de-escalation, and safety planning. You can hold steady when things get hard.
  • Relationship-building and partnership development. You connect authentically with people who have been failed by systems before-and with the providers, agencies, and organizations those people need. You are warm, reliable, and non-judgmental, and you know how to build and sustain a referral network.
  • Cultural humility. You are committed to ongoing learning about the communities you serve-including Black, Latino, LGBTQ+, unhoused, sex-working, and uninsured participants-and you actively work to center their expertise and autonomy.
  • Strong documentation habits. You are thorough, timely, and accurate in your documentation. You understand why good data matters for both participant care and organizational accountability.
  • Strong communication skills. Your written and verbal communication is clear and effective. You can advocate for participants, collaborate with partners, and manage up to align on priorities.
  • Computer proficiency. You're comfortable with electronic data systems
    (experience with Apricot or similar case management software a plus), email, and standard office tools.

Nice-to-Haves
  • Lived and/or living experience. Personal experience with drug use, incarceration, homelessness, or harm reduction is a strong asset and deeply valued at NJHRC.
  • Experience supervising students or interns. Prior field supervision or mentorship experience is a plus as we build out our internship program.
  • Familiarity with New Jersey's service landscape, including local and statewide FQHCs, MOUD providers, shelters, and community coalitions across multiple counties
  • Bilingual in Spanish
    (verbal and written)
  • Experience with HIV/HCV navigation or infectious disease care coordination
  • Valid driver's license
  • Bachelor's or post-graduate degree in social work or related field
    (beyond licensure requirements)

A Note to Potential Candidates
Studies have shown that women, trans, non-binary people, and BIPOC candidates are less likely to apply for jobs unless they believe they meet every qualification. We are committed to building a diverse and inclusive organization, and we are most interested in finding the best candidate for the job. That candidate may come from a less traditional background, and we welcome the opportunity for new insight into our work. We strongly encourage you to apply, even if you don't believe you meet every qualification described.
Salary and Benefit Details
  • Salary: $65,000-$75,000 annually, with starting salary determined by demonstrated experience and qualifications. The majority of candidates will start at the lower end of this band.
  • Health benefits: 100% employer-paid medical, dental, and vision coverage for employees. For employees with eligible dependents, NJHRC pays 100% of total benefit costs
    (employee + dependents) up to $1,200/month.
  • Additional benefits: 20 paid vacation days, 15 paid holidays, half-day
    "Summer Fridays" in July and August; retirement plan with up to 5% employer match; Employee Assistance Program; $500 professional development fund plus organization-wide professional development opportunities.

Equal Opportunity Employment NJHRC is an equal opportunity employer and values a diverse workforce and an inclusive culture. NJHRC encourages applications from all qualified individuals without regard to race, color, religion, gender, ethnicity, personal appearance, political affiliation, family responsibility, sexual orientation, gender identity or expression, age, national origin, marital status, citizenship, disability, veteran status and record of arrest or conviction. NJHRC is particularly interested in hiring people who have been directly harmed by the War on Drugs. Ready to Join Us?
We want to hear from you! Apply online at njhrc.bamboohr.com/careers. The priority application deadline is April 24 at 9:00am. We'll continue accepting applications on a rolling basis until the position is filled. Decisions are made on a rolling basis. The BambooHR application requires a resume, cover letter, and two professional references who can speak to your relevant experience. Applications without all required components will not be considered.
Selected candidates will be invited to:
  • 30-minute phone screen
  • 60-minute interview with the Program Director
  • Job interview assignment
    (compensated)