Ensuring the reliability of Large Language Models (LLMs) under distribution drift requires inference-time adaptation. While inference-time alignment methods such as Best-of-$N$ and rejection sampling are widely used, they frame the task as a sampling-intensive, reward-guided search, leading to two key limitations: their performance is bounded by the base model's generation quality, and their reliance on imperfect reward models makes them vulnerable to reward hacking. To address these challenges, we introduce Gradient-Guided Reward Optimization (GGRO), a lightweight inference-time method that performs targeted, minimal intervention during decoding via gradient guidance. Specifically, GGRO monitors token-level entropy to identify high-uncertainty regions indicative of drift or misalignment. Upon detection, it responds by injecting nudging tokens, generated using gradient signals from an off-the-shelf reward model, to steer the generation trajectory rather than merely re-ranking samples. Experiments show that GGRO consistently improves inference-time alignment across safety, helpfulness, and reasoning benchmarks. It also increases coverage of high-quality responses and robustness to reward hacking, with minimal computational overhead. Code is available at https://github.com/lhk2004/GGRO.