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Harm Reduction Worker Jobs in California (NOW HIRING)

JOB SUMMARY The Health Worker II in Harm Reduction Services SOMA Rise program provides care, engagement, support, and documentation for participants in the HR360 SOMA RISE program. As a part of a ...

Intake Coordinator

Los Angeles, CA ยท On-site

$19.50 - $26.50/hr

Strong understanding of harm reduction principles and experience working with people experiencing homelessness, substance use disorders, and mental health conditions. * Comfort working in non ...

Utilize a harm reduction model when working with clients with chemical dependency or substance use disorders. * After engagement with client, refer to case management or housing navigation staff to ...

Case Manager (CHPLA)

Los Angeles, CA ยท On-site

$29.25/hr

These include LEAD's harm reduction/Housing First framework, which requires a focus on individual ... Ability to establish and maintain effective working relationships with staff, participants, and ...

Case Manager (CHPLA)

Los Angeles, CA ยท On-site

$29.25/hr

These include LEAD's harm reduction/Housing First framework, which requires a focus on individual ... Ability to establish and maintain effective working relationships with staff, participants, and ...

Driver

Los Angeles, CA ยท On-site

The Driver supports the Harm Reduction Team by safely operating and maintaining the transporting ... At least 1 year of experience working with vulnerable or homeless populations in community or ...

LVN-Crocker

Los Angeles, CA ยท On-site

$29.75 - $39.75/hr

Experience working with marginalized populations in a community health or harm reduction setting. * Proficiency in evidence-based behavioral health interventions, such as motivational interviewing ...

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Harm Reduction Worker information

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How much do harm reduction worker jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for harm reduction worker in California is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $24.66 per hour, depending on experience, location, and employer.

What is a harm reduction worker?

Harm reduction workers are professionals who support individuals in reducing the negative health and social consequences associated with drug use and other risky behaviors. They provide non-judgmental, evidence-based services like distributing clean needles, offering overdose prevention education, connecting clients to health and social resources, and advocating for safer practices. Harm reduction workers often work in community organizations, shelters, or outreach programs, and their goal is to promote health and dignity while respecting each person's choices.

What are the key skills and qualifications needed to thrive as a harm reduction worker, and why are they important?

To thrive as a Harm Reduction Worker, you need a solid understanding of public health principles, addiction, and harm reduction strategies, often supported by relevant training or a degree in social work or public health. Familiarity with data collection tools, client management systems, and knowledge of naloxone administration or other harm reduction supplies is typically required. Exceptional interpersonal skills, cultural sensitivity, and nonjudgmental communication help build trust with clients from marginalized populations. These skills and qualities are crucial for effectively supporting individuals, reducing risk, and promoting health and safety within communities.

How does a harm reduction worker typically collaborate with healthcare providers and community organizations?

Harm Reduction Workers frequently partner with healthcare professionals, social services, and community organizations to ensure clients receive comprehensive support. This collaboration may involve coordinating referrals to medical care, mental health services, housing assistance, and addiction treatment programs. Regular team meetings and case conferences are common, allowing for the sharing of insights and strategies to best address clients' needs. Building strong relationships with partner organizations is essential for providing holistic care and improving outcomes for individuals facing substance use challenges.

What is the difference between Harm Reduction Worker vs Outreach Worker?

AspectHarm Reduction WorkerOutreach Worker
CredentialsCertifications in substance use, counseling, or public healthCertifications in social work, community outreach, or public health
Work EnvironmentCommunity clinics, harm reduction programs, sheltersCommunity centers, street outreach, shelters
Employer & IndustryPublic health agencies, nonprofits focused on addictionNonprofits, government agencies, social service organizations

Harm Reduction Workers focus on providing services like safe injection education and distributing supplies to reduce drug-related harm. Outreach Workers engage with vulnerable populations to connect them to resources and support. While both roles involve community engagement and public health, Harm Reduction Workers specifically target substance use harm reduction strategies, whereas Outreach Workers have a broader scope in social services and community support.

What are popular job titles related to Harm Reduction Worker jobs in California?

For Harm Reduction Worker jobs in California, the most frequently searched job titles are:

What job categories do people searching Harm Reduction Worker jobs in California look for?

The top searched job categories for Harm Reduction Worker jobs in California are:

What cities in California are hiring for Harm Reduction Worker jobs?

Cities in California with the most Harm Reduction Worker job openings:

Infographic showing various Harm Reduction Worker job openings in California as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 70% Physical, 2% Hybrid, and 28% Remote job distribution, with an average salary of $43,458 per year, or $20.9 per hour.

Late Night Outreach Worker

San Francisco, CA โ€ข On-site

Lyon-Martin Community Health Services
Outpatient Health Careย โ€ขย 11 - 50 employees

$30.75/hr

Other

Re-posted 9 days ago


Job description

Job Title: Late Night Outreach Worker

Pay: $30.75 per Hour

Late Night Hazard Pay Differential: $5.00 per hours worked between 10:00 pm & 2:00 am.

Language Differential: $1.00 per working hour

Hours: 4 - 8 hrs/week

In Person vs. Remote: 100% in person

FSLA Status: Non-Exempt; On-Call                         

Primary Location: Lyon-Martin Community Health Services

Address: 1735 Mission Street San Francisco, CA 94103                                 

Reports To: Director of Outreach & Harm Reduction                      

Organization Mission
The mission of Lyon-Martin Community Health Services is to provide high quality and trauma-informed medical, gynecological, and mental health care services targeting trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQA+ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.
We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education and policy advocacy.
 Job Summary

The Late Night Outreach Worker will be responsible for staffing the late-night mobile outreach program, focusing on distributing supplies and administering STI testing to street-based sex workers, people who use drugs and people who are unhoused in San Francisco with a focus on queer, transgender, and intersex people, and people of color. There are two late night shifts per week, and they are typically scheduled to occur from 10pm-2am.
Key Responsibilities
 

Outreach & Harm Reduction Responsibilities

  • Coordinate Outreach Program: Alongside Director, distribute harm reduction supplies including but not limited to syringes/needles, Narcan, fentanyl test strips, and other drug use supplies, food/water, safer sex supplies, first aid supplies, hygiene supplies, street sleeping supplies such as tents and sleeping bags; facilitate Narcan trainings, drug test strip trainings; administer COVID testing and vaccination; administer STI testing; through our Street-Based Outreach program.
  • Connect community members to our clinic services: Primary care, Gender Affirming Care, Suboxone, HIV/Hep C care, Gynecological Care, Mental Health Services, etc.
  • Maintain inventory of supplies, coordinate orders when needed.
  • Participate in monthly Outreach team meetings.
  • Collaborate with the Director to plan and staff various community engagement events and trainings for community members (and staff when appropriate).  
  • Maintain and distribute the Bad Date List
  • Collect, track and report data for all activities and submit to the Director in a timely manner (at minimum monthly, submitted by the 5th day of the next month).
  • Document thoroughly in Electronic Health Record as needed in a timely manner. 

Communications

  • Table at events to educate community members about our services and to distribute harm reduction supplies to community members (as needed).
  • Work closely with community partner organizations to educate them about our services.

And, other duties as assigned.

Competencies:

  • Mission-driven: demonstrates commitment to mission of the organization, queer, intersex and trans health, and community-driven primary care.
  • Teamwork: reaches out to peers and cooperates with supervisors to establish an overall collaborative working relationship; treats everyone with dignity regardless of their level or background. Accountable to team; participates effectively in group- and team-work; collaborates positively with other team members; giving and accepting constructive criticism.
  • Communication: Delivers written communications that have clarity and impact including emails. Effective listener; clearly and thoughtfully communicates with others in person and on the phone. Strives to understand the viewpoints of others. Maintains professionalism in all communications.
  • Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.
  • Customer Service: Persists in efforts to solve issues even when faced with internal barriers; accountable to outcomes; responds quickly and effectively to requests for assistance and support whether internal or external; asks questions when unsure of the answer.
  • Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. MS Office, Excel, Word and/or Powerpoint. 
  • Tolerance for Stress, Ambiguity, and Change: Maintains composure while under pressure; handles complex problems and change with grace; demonstrates flexibility and versatility in achieving key goals and priorities.
  • Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.
  • Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.
  • Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact. 
  • Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.
  • Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.
  • Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.
  • Cultural Humility and Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives. 
  • Intelligence: learns quickly; demonstrates ability to proficiently understand and absorb new information
  • Creativity/innovation: generates new and innovative approaches to problems.
  • Enthusiasm: exhibits passion and excitement over work; has a can-do attitude
  • Work ethic: possesses a strong willingness to work hard to get the job done.


Education, Knowledge, Skills:

  • Bachelor’s degree OR minimum 1 year of work experience in community health, social services, harm reduction, or social justice settings. 
  • Strong demonstrated experience and knowledge in: conflict resolution, restorative justice, and de-escalation; maintaining appropriate boundaries with community members; cultural competency, humility and commitment to health equity and harm reduction. 
  • Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex communities.
  • Experience working with populations with varying disabilities, racial, ethnic and cultural backgrounds and economic statuses.
  • Experience working with people who do sex work, those experiencing homelessness, people who have mental illness and/or use drugs, those of with a history of incarceration, people of varying ages.
  • A strong commitment to gender affirming health care and health care access for underserved populations.
  • Must be able to work 10pm-2am. 
  • Strong commitment to overdose prevention work and working with people who use drugs.
  • Excellent interpersonal and communication skills.  
  • Ability to be flexible and responsive to change. 
  • Willingness to be an ambassador at events on behalf of Lyon-Martin