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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$180K - $215K *

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Washington DC, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $164K *

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United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$78K - $132K *

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San Diego, CARemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$80K - $95K *

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Atlanta, GARemote

1 week ago

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

$88K - $128K *

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United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $224K *

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Atlanta, GARemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$91K - $163K *

Join a team that's dedicated to improving healthcare outcomes through clinical review and collaboration. You'll engage in appeals and grievances processes, working closely with medical directors and p...

Minnetonka, MNRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Join a supportive team delivering evidence-based psychotherapy to older adults. Enjoy flexible scheduling, comprehensive admin support, and opportunities for professional growth while making a meaning...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join a team that's dedicated to delivering exceptional behavioral healthcare. Assess client needs, develop treatment plans, and collaborate with a multidisciplinary team to enhance mental health manag...

Auburn, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$67K - $111K *

Deliver compassionate, expert behavioral health care throughout members' journeys, ensuring clinical excellence in a fast-paced, 24/7 environment as a trusted clinical partner in diverse cases and sup...

United StatesRemote

Reposted 3 days ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Shape impactful therapy for older adults by delivering evidence-based psychotherapy in a fully remote, supportive environment. Collaborate and design tailored treatment plans while enjoying flexible h...

Illinois, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Join a team that delivers innovative telehealth psychotherapy to older adults. Enjoy flexible scheduling while providing high-quality, evidence-based care within a supportive network, ensuring patient...

Mississippi, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $92K *

Lead the delivery of evidence-based mental health therapy via video sessions, managing a diverse caseload while utilizing digital tools to enhance client outcomes and cultural responsiveness in care...

Connecticut, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$252K - $315K *

Champion psychiatric practice excellence by developing standards and frameworks to enhance clinician support, patient outcomes, and operational quality. Collaborate with leadership to implement eviden...

New York, NYRemote

4 days ago

  •   8 - 10 years exp.  •   Healthcare

$60K - $129K *

Transform healthcare delivery by providing comprehensive case management services. Engage with members through assessments and care planning to enhance wellness and ensure smooth transitions to necess...

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2 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$60K - $129K *

Join our team as a Case Manager RN, where you'll leverage your nursing expertise to assess, plan, and advocate for patient care in a fully remote setting, ensuring optimal health outcomes through effe...

Texas, USRemote

Reposted today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $100K *

Join a team that's dedicated to delivering high-quality psychotherapy to older adults. Enjoy flexible scheduling, comprehensive support, and the opportunity to make a meaningful impact in a collaborat...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $215K *

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Maryland, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $200K *

Unlock potential by providing remote ABA services, conducting assessments, and developing treatment plans for children and families. Collaborate with caregivers and supervise technicians to ensure eff...

Atlanta, GARemote

Today

  •   Less than 5 years exp.  •   Healthcare

$100K - $115K *

Deliver exceptional clinical leadership and oversight in a remote setting, ensuring program quality and compliance with regulations. Engage with staff and clients to foster a therapeutic environment w...

United StatesRemote

2 weeks ago

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

$100K - $120K *

Join a team that's dedicated to providing high-quality psychotherapy to older adults. Enjoy flexible scheduling, comprehensive support, and opportunities for professional development in a fully remote...

New Jersey, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Shape the future of behavioral healthcare by delivering high-quality services. Collaborate with a dedicated team to provide flexible, innovative care options while enjoying a supportive work environme...

Greenville, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Join a dynamic team dedicated to delivering high-quality behavioral healthcare. Enjoy flexible schedules, competitive compensation, and a supportive environment that fosters professional growth and wo...

Lincoln, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Elevate patient care by joining our team of dedicated therapists, committed to delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment...

Rhode Island, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Unlock your potential by delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment. Join a team dedicated to professional growth and work-life b...

Cranston, RIRemote

2 weeks ago

  •   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.