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.
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.
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.
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.
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.
Licensed Clinical Mental Health Counselor (LCMHC)
$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...
1 week ago
$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...
Reposted yesterday
Licensed Clinical Professional Counselor (LCPC)
$115K - $120K *
Elevate clinical care by guiding a team of therapists in a virtual setting. Shape treatment quality and ensure ethical standards while delivering effective therapy services across Montana. Join us in...
3 days ago
Licensed Clinical Professional Counselor (LCPC)
$115K - $120K *
Advance mental health support by providing telehealth therapy to clients across Kansas. Engage in virtual sessions, assessments, and treatment planning to help adults navigate emotional challenges and...
1 week ago
Licensed Clinical Professional Counselor (LCPC)
$115K - $120K *
Help us deliver exceptional counseling services while managing your own caseload and contributing to team discussions. This role is ideal for an experienced LCPC who thrives in a collaborative, remote...
1 week ago
Licensed Clinical Professional Counselor (LCPC)
$115K - $120K *
Unlock your potential in a full-time telehealth role, providing essential therapy to adults. Manage a diverse caseload, ensuring quality care and documentation while working independently in a support...
1 week ago
$210K - $250K *
Innovate in AI-native primary care by leading a dynamic medical group. Manage physicians, enhance care delivery, and shape clinical programs while maintaining direct patient care involvement. Drive ex...
5 days ago
Licensed Behavioral Health Clinician- Worcester, MA
$95K - $104K *
Transform your career by providing essential behavioral health support, developing care plans, and collaborating with care teams to address member needs in a hybrid role that balances virtual and comm...
2 weeks ago
Project Director - Documentation Integrity
$100K - $120K *
Optimize clinical documentation processes across facilities while ensuring regulatory compliance and enhancing reimbursement efficiency. Leverage your expertise in behavioral health and audit readines...
3 weeks ago
Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services) CBHI
$69K - $100K *
Empower quality care by managing and evaluating behavioral health service requests, utilizing critical judgment in decision-making. Collaborate with multidisciplinary teams to enhance service delivery...
3 weeks ago
Licensed Mental Health Counselor (LMHC-D) - Remote - Spanish Speaking
$80K - $89K *
Transform the mental health landscape by providing remote outpatient therapy services. Collaborate with a diverse team to deliver quality care through telehealth, ensuring patient safety and satisfact...
5 days ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Deliver impactful virtual therapy by providing personalized care, fostering client growth, and maintaining high clinical standards. Collaborate with a supportive team while working flexibly from home...
4 weeks ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Provide remote mental health care by conducting therapy sessions, developing treatment plans, and monitoring clients’ progress. Join a supportive team dedicated to enhancing the well-being of individu...
4 weeks ago
$54K - $116K *
Elevate your career by joining a dynamic team that empowers mental health professionals to provide impactful care. Enjoy autonomy, professional growth, and the opportunity to make a difference in pati...
Today
$121K - $155K *
Empower individuals by providing evidence-based mental health support to patients aged 13+. Collaborate with a dedicated clinical team in a fully remote environment, enhancing patient care and profess...
Yesterday
$66K - $142K *
Elevate mental health support by providing evidence-based care to clients aged 13+. Collaborate with a dedicated team to enhance patient well-being while enjoying autonomy in practice and opportunitie...
Yesterday
$108K - $116K *
Join a dynamic team to empower mental health through evidence-based care, providing support to individuals and families. Enjoy autonomy in practice while collaborating with a dedicated clinical team i...
Yesterday
Director of Revenue Cycle Management
$118K - $132K *
Drive strategic revenue growth by leading the billing operations team, optimizing processes, and enhancing cross-functional collaboration. Ensure compliance and efficiency in contracting and credentia...
4 weeks ago
Remote Child & Adolescent Therapist (LCSW, LPC, LMFT)
$100K - $112K *
Join a team that's dedicated to transforming mental health care for children and adolescents. Enjoy flexibility in scheduling while working in a supportive environment with full administrative assista...
Reposted 2 weeks ago
Remote Licensed Behavior Analyst
$95K - $120K *
Inspire change by leading neurodiversity-affirming clinical programming remotely. Oversee a dedicated team, ensuring impactful ABA treatment for children while enjoying flexible scheduling and growth...
1 week ago
Manager of Operational Excellence
$90K - $110K *
Shape operational excellence by driving performance improvements through data-driven strategies. Collaborate with leadership to enhance efficiency, growth, and care delivery, ensuring sustainable resu...
Yesterday
Mental Health Therapist - District of Columbia
$70K - $97K *
Transform the lives of individuals with OCD by providing exceptional evidence-based care through diagnoses and therapy via telehealth. You'll manage your own caseload, receive ongoing training, and co...
3 weeks ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Support our mission by providing clinical expertise in mental health and substance use treatment. Collaborate with multidisciplinary teams to ensure appropriate services and improve health outcomes fo...
1 week ago
Utilization Management Coordinator (Remote in Oregon)
$85K - $102K *
Contribute to improving health outcomes by providing clinical expertise in mental health and substance use treatment. Engage in service authorization reviews, collaborate with multidisciplinary teams...
1 week ago
Licensed Professional Counselor (LPC)
$115K - $120K *
Engage in meaningful mental health care as a Licensed Professional Counselor, delivering virtual therapy to clients. Help manage stress, anxiety, and life transitions while guiding treatment and track...
2 days ago
What does a substance abuse counselor do?
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?
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?
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?
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?
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.