Organizational Summary:
No city experienced epidemic levels of HIV faster than San Francisco. At San Francisco AIDS Foundation, we work to end the epidemic where it first took hold, and eventually everywhere. Established in 1982, our mission is the radical reduction of new infections in San Francisco. Through education, advocacy, and direct services for prevention and care, we are confronting HIV in communities most vulnerable to the disease. We refuse to accept that HIV transmission is inevitable. For more information, visit

Position Overview: 
SFAF’s Syringe Access & Disposal Services (SAS Program) is the largest syringe access and disposal health engagement program in the State of California serving over 14000 participants per year. Our program provides evidence-based interventions to improve health outcomes for people who inject drugs (PWID) including decreasing accidental death due to overdose; reducing HIV, STI and HCV infection and transmission rates; improving engagement in care, treatment & adherence. Our mobile and stationary sites provide syringe access & disposal services, health education, counseling, professional & peer support, outreach, linkage, and other community and health improvement-focused services. 

The SAS Manager I/Health Educator serves as a member of the SAS management group and is supervised by the Associate Director of the 6th Street Harm Reduction Center. Responsibilities include: Day to day supervision and management of operations, staffing, and training for SAS staff members and volunteers; Staff supervision; Team building and scheduling Complex Administrative Analysis, and Systems Development; Oversight and quality assurance of 6th Street HRC site data collection and reporting; Direct health education and counseling service provision; Serve as acting program Director or on call as assigned.

As a member of the SAS and 6th Street Harm Reduction Center Team Health Education responsibilities include:  building relationships with program participants; providing syringe access & safe disposal services; hosting the harm reduction lounge; providing overdose prevention trainings and Naloxone distribution; providing health education and harm reduction groups; facilitating groups, workshops and 1 on 1 counseling; linking participants to SAS’s HCV Wellness Program, HIV and HCV testing; providing referrals and linkage to substance use, health and social services; conducting street and venue-based outreach and neighborhood sweeps; hosting syringe and works kit packing parties; completing all paperwork and data submissions per program protocol.  

Essential Duties and Responsibilities:
Include the following. Other duties may be assigned.

1. Staff Supervision: Supervises 4 or more SAS Health Educators. Responsibilities include: performance management, performance review, weekly supervision, training, staff development and support, self-care and burnout prevention, workflow and timekeeping, coaching; etc.

SAS Volunteer Supervision: Provides supervision for SAS site volunteers. Supervision includes individual training, skills development, continuing education, and support.

2. Team Building and Scheduling:  In partnership with the 6th Street Associate Director, build, maintain, and lead a high functioning cohesive team. Responsibilities include meeting facilitation and agenda setting, training, scheduling, evaluation, hiring, coaching, and developing the team.

3. 6th Street Harm Reduction Center & SAS Programmatic Operations Management: Analyze operation’s needs, develop systems, and  create processes and workflow documents, etc to support smooth operations  program wide. Responsibilities include: developing and maintaining opening and closing checklists to ensure site cleaning, schedule development, staff productivity & attendance, stocking, team communication and service delivery; providing the team with training to complete opening and closing tasks, other duties as assigned.

4.  Program Data Management and Oversight: Maintain and update syringe access and 6th street lounge programming site data collection forms, provide team with training and support to accurately capture services delivered to meet our program’s goals and objectives. Provide training and direct supervision to SAS Health Educators who do site data entry. Submit site data to SAS Program Director monthly.

5. Health Education:  
Responsibilities include staging and breaking down/cleaning the 6th Street Harm Reduction Center, building ongoing relationships with people who inject drugs, providing on site referral and linkage to substance use, health and social services. Provide on-site health education & referral. Provide health coaching focused on self-care, health improvement activities, disease prevention, etc. Provide individual and group motivational interviewing sessions. Develop and facilitate workshops and health improvement, education, and skills building groups. Link participants to HIV/HCV testing, the HCV Wellness Program, and HIV Health Navigation team. Provide DOPE Project overdose prevention and response trainings, recruit participant volunteers for low threshold volunteer opportunities, and acting as an ambassador for SFAF’s harm reduction programming in the 6th street harm reduction center and the community.  Develop outreach materials, educational and resource flyers. Train, supervise, and retain volunteers. The 6th Street Harm Reduction Center welcomes diverse groups of people who are active substance users, homeless and/or marginally housed, have untreated mental health concerns, histories that often include trauma, incarceration and violence. SAS staff provides de-escalation, conflict resolution, and crisis interventions. Document and enter site data, referral data, volunteer data, DOPE Project data, partner services, and community clean-up data.

6. Safety and Maintenance Coordination:
Ensures that the 6th Street Harm Reduction Center work environment is healthy and conducive for workers to carry out their duties without subjecting themselves to any harm or danger. This may include activities such as communicating with Office Services about needed repairs, assessing participant and staff flow and use of the space through the lens of safety, and communicating about safety issues, repairs, furniture and fixture needs to the SAS Program Management.

7. Outreach and Engagement Mobile Site Supervision:
Street and van based outreach and engagement, providing syringe access service, safe disposal of bio waste. Build ongoing relationships with participants, provide harm reduction counseling and health education, referrals, and linkage to HIV/HCV testing, the HCV Wellness Program, HIV Health Navigation team. Provide on-site DOPE Project overdose prevention and response trainings, recruit participant volunteers for low threshold volunteer opportunities, and act as an ambassador for SFAF’s harm reduction programming in the community.  Provide cleanup outreach and document improperly discarded syringes collected and engage PWIDs and other community members on the disposal sweep route. Develop outreach materials, educational and resource flyers. Train, supervise, and retain volunteers. Document and enter site data, referral data, volunteer data, Dope Project Data, and community cleanup data.

All SAS Team Member schedules may include providing shift coverage for direct services and logistics/inventory activities to cover vacations, sick days, and special events. While we have scheduled hours and assigned tasks and roles in our department- sometimes duty calls when volunteer power is short, a co-worker calls in sick or is on vacation, a SAS staff member needs a hand with an aspect of their job, or a participant is in crisis.  All department positions require staff to offer flexibility to meet the needs of the team and handle unexpected changes in their workday or workweek. 

Other Skills and Abilities:
Knowledge of substance use and health concerns of injection drug users. Knowledge of health and social services throughout the city of San Francisco. Awareness and sensitivity to diverse and marginalized populations. Ability to speak candidly and knowledgeably about drug use and sexual risk. Ability to implement de-escalation techniques, follow safely protocols, and use sound judgment in making independent decisions.  Ability to work in a fast-paced and sometimes chaotic environment with people who can be high, low or crashing and/ or who may have untreated mental and/or physical health challenges. Good organizational skills, data entry skills, ability to use Microsoft office programs including Excel.

Education and Experience:
Minimum, three years’ experience working with drug users, highly marginalized, or homeless populations required. Associates Degree preferred, experience using motivational interviewing and strong understanding of harm reduction practices and principles, experience doing health education preferred. Staff supervision and management experience required. Preferred: Demonstrated skill using the Microsoft suite of programs including; excel, PowerPoint, publisher. Candidate will be called upon to manage, organize, analyze, develop and track complex business and operations systems and spreadsheets.  Proof of valid California driver’s license with excellent driving record required. Understanding of HIV/HCV disease prevention and treatment.

Physical Requirements:
Skill in operating office equipment such as a personal computer, copy machine and telephone system. Ability to perform routine bending, stooping, twisting, and reaching. Ability to stand for four hours. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Ability to lift a minimum of 50 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The position requires work during evenings, weekends and holidays.
Work Environment: 
This position is primarily located at 1035 Market Street, 117 6th street, and at satellite locations and van based services, however may require traveling to other office locations or off-site meetings as required by the job.

This position will have access to protected health information (PHI) and may only access, use or disclose the minimum information necessary to perform their designated role on behalf of San Francisco AIDS Foundation, regardless of the extent of access provided.

The statements herein are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for personnel so classified.

Equal Employment Opportunity Statement:
The San Francisco AIDS Foundation is an Equal Opportunity employer. We actively seek applications from people living with HIV/AIDS, persons with disabilities, women, gay men, lesbians, transgender, queer and people of color.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Please visit our careers page at:



Department: Syringe Access Services
This is a full time position

Visit Careers at San Francisco AIDS Foundation

Personal Information


Other Information