Explore Substance Abuse Counselor Jobs

Substance abuse counselors help people address addiction and substance use disorders through assessment, treatment planning, counseling, and ongoing recovery support. On Ladders, explore vetted opportunities for experienced professionals, including roles in behavioral health organizations, hospitals, treatment centers, and community-based programs. Many listings target positions paying $100,000 or more, particularly for senior clinicians, program leaders, and specialized practitioners.

What Substance Abuse Counselors Do

Responsibilities vary by setting and credentials, but may include evaluating clients, developing individualized care plans, conducting individual or group counseling, coordinating referrals, documenting progress, and supporting relapse prevention. Counselors often collaborate with physicians, therapists, social workers, and families to help clients navigate recovery.

Common Job Titles and Career Paths

Related titles include addiction counselor, substance use disorder counselor, clinical counselor, behavioral health therapist, recovery services manager, and addiction treatment program director. With experience and advanced qualifications, professionals may move into clinical supervision, program management, or organizational leadership.

Skills and Qualifications

Employers commonly seek strong counseling and communication skills, knowledge of evidence-based treatment approaches, sound clinical judgment, and experience with treatment documentation and care coordination. Licensing and certification requirements vary by state and employer. Some roles require a master’s degree, independent clinical licensure, or specialized credentials, while others accept different combinations of education and supervised experience.

Find Substance Abuse Counselor Roles on Ladders

Use Ladders to explore vetted professional jobs with compensation of $100,000 or more. Compare opportunities by seniority, location, employer, and responsibilities to identify roles that fit your experience and career goals. Review each listing carefully for its salary range, credential requirements, and work setting.

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$110K - $130K *

Champion a high-performing team by leading, coaching, and developing Directors of Admissions. Drive strategic initiatives to enhance patient access and improve admissions processes while ensuring comp...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$72K - $115K *

Optimize patient care by delivering high-quality behavioral healthcare. Join a dynamic team of licensed therapists committed to clinical excellence, work-life balance, and professional growth in a sup...

Providence, RIRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$81K *

Transform the delivery of high-quality care as a Clinical Supervisor, leading a team of counselors to achieve clinical excellence and implement innovative protocols while ensuring compliance and foste...

Kentucky, USRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $89K *

Empower individuals by providing remote outpatient therapy services through our telehealth program. Join a dynamic team dedicated to mental health, offering flexible schedules and comprehensive suppor...

Huntington Station, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $89K *

Unlock potential by joining a dynamic team of licensed therapists providing remote outpatient services through telehealth, ensuring patient care across diverse populations with flexible scheduling and...

New York, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform recovery support by leveraging telemedicine to drive engagement and success for members, while collaborating with a dedicated team to provide compassionate care throughout the early treatmen...

West Virginia, USRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Pioneer high-quality behavioral healthcare by delivering exceptional patient care. Take ownership of your professional growth in a supportive environment that values work-life balance and offers flexi...

East Greenwich, RIRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Advance your career by delivering high-quality behavioral healthcare. Join a supportive team focused on clinical excellence, work-life balance, and professional growth in a flexible environment with c...

Greenville, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Advance your career by delivering high-quality behavioral healthcare. Join a supportive team that values work-life balance and professional growth while providing flexible schedules and competitive co...

Lincoln, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Elevate patient care by delivering high-quality behavioral healthcare. Join a dynamic team of licensed therapists committed to clinical excellence, work-life balance, and professional growth in a supp...

Rhode Island, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Transform patient care by delivering high-quality behavioral healthcare. Join a dynamic team that values work-life balance and professional growth while providing flexible schedules and competitive co...

Smithfield, RIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Transform client lives by delivering virtual counseling services, managing treatment plans, and maintaining a consistent caseload. Enjoy a stable schedule while making a meaningful impact in a support...

Farmington, NMRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join a team that's leveraging technology to enhance mental health access through telehealth. Provide comprehensive assessments and tailored treatment plans while collaborating with professionals to su...

Oakland, CARemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $111K *

Empower patients by diagnosing and treating mental health disorders. Design tailored treatment plans and provide consistent counseling while collaborating with family members to ensure comprehensive c...

California, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$115K - $120K *

Empower clients through structured remote therapy, focusing on assessment, treatment planning, and ongoing support. Ideal for counselors who value independence and organized clinical work while foster...

Lakeland, FLRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Lead the charge in providing remote counseling services to clients facing mental health challenges. Utilize your expertise to conduct intake sessions, maintain records, and ensure client safety while...

Johnston, IARemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower individuals by providing virtual mental health care through structured therapy sessions. This role supports emotional well-being and long-term treatment goals in a fully remote environment, en...

Spokane, WARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Contribute to high-quality behavioral healthcare by delivering exceptional therapy. Embrace flexible work schedules and a collegial environment while caring for diverse populations in a supportive out...

Brunswick, MERemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $90K *

Empower clients by delivering therapeutic services in a collaborative team environment. Engage in assessments, lead therapy groups, and support mental health wellness goals, fostering a culture of hop...

Houston, TXRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$200K - $240K *

Unlock potential by leading high-quality, evidence-based substance use disorder treatment as a physician leader. Collaborate with cross-functional teams to shape clinical governance and enhance servic...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$76K - $105K *

Elevate patient care by joining a dynamic team of licensed therapists dedicated to clinical excellence and flexible work environments, ensuring a strong work/life balance and full administrative suppo...

Washington, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $105K *

Champion transformative therapy by providing individual and group sessions for clients with eating disorders. Collaborate with a dedicated clinical team to develop personalized treatment plans and fos...

South Carolina, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$115K - $120K *

Reimagine mental health support by providing individual counseling via telehealth. Engage with clients facing various challenges, ensuring comprehensive care through effective communication and docume...

Pinehurst, NCRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Transform mental health care by delivering remote therapy services in a structured, outcome-focused environment. Collaborate with care teams to provide effective treatment and maintain high clinical s...

North Carolina, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the intake process by conducting comprehensive biopsychosocial assessments, guiding clients to appropriate care levels, and collaborating with the clinical team to ensure seamless treatment trans...

Massachusetts, USRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

Frequently Asked Questions (FAQ)

  • What does a substance abuse counselor do?question toggle

    A substance abuse counselor assesses clients’ needs, supports treatment planning, provides individual or group counseling, tracks progress, and helps clients build strategies for recovery. Duties depend on the role, employer, and credentials.

  • What qualifications are needed for substance abuse counselor jobs?question toggle

    Requirements vary by state and employer. Jobs may call for relevant education, supervised clinical experience, state licensure or certification, and training in addiction treatment. Senior or independently licensed roles may require a graduate degree and advanced credentials.

  • Can substance abuse counselors earn $100,000 or more?question toggle

    Some experienced substance abuse counselors and related professionals earn $100,000 or more, especially in senior clinical, supervisory, specialized, or program leadership positions. Compensation depends on location, qualifications, employer, and scope of responsibility.

  • Where do substance abuse counselors work?question toggle

    They work in settings such as addiction treatment centers, hospitals, behavioral health clinics, community organizations, and other recovery or social service programs.

  • What are common career paths for substance abuse counselors?question toggle

    Career paths can include clinical specialization, independent counseling, clinical supervision, treatment program management, and behavioral health leadership. Advancement often depends on experience, education, and applicable licensure.