Counselor, Harm Reduction Services
Listed compensation
$50K
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job 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.
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
Key Responsibilities
The Harm Reduction Counselor conducts outreach, provides individual and group education, and facilitates substance use disorder support groups using harm reduction principles. They also manage service navigation, distribute naloxone, and perform HIV/HCV testing while maintaining accurate service documentation.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Addiction Medicine listings this role was benchmarked against, 46% are remote, 48% have no call, 42% require no weekends.
The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$50k midpoint carries the purchasing power of roughly $46k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.6 / 10 · top 25% in addiction medicine (counseling) | ranked against 1,106 Addiction Medicine (Counseling) listingslisting-based score, 0–10 |
| Listed pay | $50k | Addiction Medicine median $75k (middle half $70k–$95k)25 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$46k in purchasing power | New York index 107.9 (US = 100)BEA Regional Price Parities (2024) |
| Addiction Medicine listings in New York | 97 active | 1,106 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 46% remote · 48% no call · 42% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | New York counselor listings (all specialties): 10% state a sign-on bonus (median $5k) · 10% offer loan repayment800 active listings, Nov 2026 |
| New Addiction Medicine listings | 411 in the last 30 days | 227 the 30 days before (+81%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Addiction Medicine pay trend | −3.8% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Counselor, Harm Reduction Services at Community Health Action of Staten Island a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Addiction Medicine (Counseling) — ranked against 1,106 active Addiction Medicine (Counseling) listings on WeekdayDoc.
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