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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$222K - $267K *

Transform healthcare through effective utilization management and collaborative leadership. Play a key role in developing policies ensuring high-quality patient care and cost containment within a dyna...

United StatesRemote

4 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$104K - $145K *

Join a team that's redefining mental health care through flexible, remote teletherapy, providing lasting impact while maintaining a work-life balance. Engage with clients to deliver tailored psycholog...

Las Vegas, NVRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$104K - $145K *

Join our team as a Licensed Psychologist, providing remote telehealth therapy to clients. Utilize your expertise to conduct evaluations and develop tailored treatment plans within a flexible, supporti...

Dallas, TXRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$104K - $145K *

Engage in providing compassionate telehealth psychological therapy to clients. Utilize your expertise to conduct evaluations, develop tailored treatment plans, and maintain compliance with clinical st...

Phoenix, AZRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $110K *

Join a dynamic team as a Bilingual Licensed Independent Therapist, providing remote counseling and therapy to patients. Utilize evidence-based practices to support recovery and stabilization in a pati...

California, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Support older adults by delivering high-quality psychotherapy virtually. Collaborate within a dedicated team and enjoy flexible hours while managing efficient documentation. Shape patient care with pe...

Missouri, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Join a team that's transforming mental healthcare for older adults through innovative telehealth solutions. Enjoy flexible scheduling, administrative support, and a dedicated clinical community—all fr...

Maine, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$155K - $175K *

Manage complex surety claims while providing legal support to underwriting and business leadership. Leverage strong claims experience and legal judgment to drive optimal outcomes in a fast-paced remot...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$100K - $120K *

Transform lives by delivering high-quality, evidence-based psychotherapy to older adults in a flexible, supportive telehealth environment. Enjoy autonomy while receiving clinical support and a steady...

California, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $98K *

Elevate mental health care by providing flexible, remote therapy to diverse clients. Enjoy a high caseload fill rate, with referrals managed for you, allowing you to focus on delivering impactful care...

California, USRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$215K - $408K *

Lead the charge in medical management and quality improvement initiatives, ensuring optimal care delivery and cost-effectiveness. Collaborate with clinical teams to enhance utilization management and...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $110K *

Engage patients through evidence-based therapy in a remote setting, providing comprehensive mental health support. Collaborate with multidisciplinary teams to ensure effective treatment plans and prom...

California, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Support older adults by delivering evidence-based psychotherapy in a collaborative, fully remote environment. Enjoy flexible schedules, streamlined documentation tools, and dedicated administrative su...

Louisiana, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Shape the future of economic assistance programs by leading evaluation and compliance efforts. Drive improvements, ensure regulatory adherence, and enhance service delivery for vulnerable populations...

North Dakota, USRemote

1 week ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$150K - $200K *

Transform lives by providing virtual therapy and developing personalized treatment plans. Collaborate with a dedicated team to deliver compassionate, evidence-based care while enjoying the flexibility...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Empower older adults through quality teletherapy! Join a supportive team, set your own schedule, and help patients navigate life's transitions with evidence-based care. Flexible, remote position with...

Hawaii, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $95K *

Transform patient care by delivering remote therapy services using evidence-based practices. Engage with diverse populations, conduct assessments, and collaborate with multidisciplinary teams to suppo...

Arizona, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Engage in meaningful therapeutic relationships to enhance clients' emotional well-being. Enjoy the flexibility of remote work while leveraging strong administrative support to focus on delivering qual...

Honolulu, HIRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Grow your career with a supportive telehealth team delivering evidence-based psychotherapy to older adults. Enjoy flexible scheduling, competitive rates, and the opportunity to focus on patient care w...

North Carolina, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$107K - $166K *

Lead the charge in enhancing healthcare provider engagement through innovative outreach strategies, utilizing digital tools and collaborative efforts to improve patient care and drive business success...

Vineland, NJRemote

3 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$72K - $97K *

Manage member-centered care transitions by assessing needs, coordinating services, and connecting resources. Ensure safe discharges and follow-ups to reduce healthcare costs and improve outcomes for d...

United StatesRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $125K *

Elevate your career by driving sales and marketing for specialty medications. Collaborate with healthcare professionals to achieve revenue goals while managing relationships across multiple locations...

San Diego, CARemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $140K *

Join a dynamic team to drive sales and marketing for specialty medications, achieving revenue goals in a defined territory. Build relationships with healthcare providers and execute strategic plans to...

San Francisco, CARemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $215K *

Empower your career as a Psychiatric Mental Health Nurse Practitioner, providing remote outpatient care with clinical autonomy. Enjoy predictable compensation, minimal admin tasks, and a supportive en...

Washington DC, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $164K *

Champion operational excellence by leading business analysis initiatives, driving process improvements, and aligning solutions with strategic goals to enhance efficiency and effectiveness across the o...

United StatesRemote

1 week ago

  •   5 - 7 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.