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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$90K - $110K *

Empower cross-functional teams to drive the Future of Medicine initiatives, ensuring scalable processes and compliance while enhancing patient safety and experience through strategic planning and exec...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$135K *

Drive impactful behavior analysis services for children across diverse settings. Collaborate with families and professionals to enhance child development, oversee assessments, and supervise RBTs while...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$135K *

Manage behavior analysis services for children across diverse settings, conducting assessments, tracking progress, and collaborating with families and educators to achieve individualized goals while s...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$135K *

Unlock potential by providing behavior analysis services to children across diverse settings. Collaborate with families and educators to track progress and deliver tailored interventions, while superv...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$135K *

Empower children through behavior analysis services across diverse settings. Collaborate with families and professionals to track progress and deliver tailored interventions, ensuring each child's goa...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$135K *

Advance progress at the forefront of behavior analysis, providing essential services to children across diverse settings while collaborating with families and professionals to achieve developmental go...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join us to deliver impactful therapy services, diagnose mental health conditions, and create tailored treatment plans for individuals and families. Collaborate with specialists and help clients achiev...

Honolulu, HIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K *

Empower individuals by providing telehealth therapy as a Bilingual LCSW. Collaborate with clinical teams to enhance care quality and participant experiences while managing documentation and treatment...

California, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $110K *

Join a dynamic team dedicated to enhancing workplace safety and health. This role involves conducting investigations, inspections, and collaborating with various agencies to ensure compliance and impr...

Snohomish, WARemote

2 weeks ago

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

$180K - $215K *

Join our team of skilled Psychiatric Mental Health Nurse Practitioners to provide high-quality, 100% remote outpatient care. Enjoy clinical autonomy, flexible scheduling, and a supportive environment...

South Dakota, USRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$135K - $145K *

Elevate pediatric mental health care by delivering comprehensive evaluations, treatment planning, and medication management for children and young adults. Collaborate with a dedicated team to foster m...

Pennsylvania, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$153K - $210K *

Transform your career by partnering with teams to drive strategic growth through legal expertise in healthcare contracts, negotiations, and compliance. Collaborate with leadership to optimize performa...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$105K - $125K *

Transform coding quality and efficiency as a senior expert in radiology coding. Collaborate with cross-functional teams to enhance processes, provide guidance, and drive best practices, ensuring excep...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $100K *

Empower your career by leading a clinic with ownership potential. Drive growth, manage operations, and ensure exceptional patient care while benefiting from the support of an established organization...

Illinois, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $100K *

Empower older adults through high-quality virtual psychotherapy, designing tailored treatment plans, and collaborating with a supportive care team while enjoying flexible scheduling and modern telehea...

Wisconsin, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$101K - $181K *

Drive patient-centered clinical pharmacy services, optimizing outcomes through comprehensive medication reviews and targeted management programs. Engage in interdisciplinary collaboration and lead ini...

Worcester, MARemote

1 week ago

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

$120K - $130K *

Empower your career by building vital relationships in the behavioral health sector while driving meaningful change through cutting-edge OCD treatments. This role combines strategic territory manageme...

Hartford, CTRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $193K *

Drive excellence in clinical research as a Senior CRA, ensuring quality and compliance throughout the study lifecycle. Collaborate with sites and teams to enhance patient safety and data integrity, in...

Durham, NCRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Unlock potential by delivering expert medical information support to healthcare professionals, ensuring safe product use through timely, evidence-based responses and effective communication across mul...

Overland Park, KSRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Partner with us to enhance the lives of children on the autism spectrum through effective ABA therapy. Lead and support a team of technicians, design tailored treatment plans, and foster a collaborati...

Orlando, FLRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $193K *

Join a dynamic team as a Senior CRA, ensuring high-quality clinical studies through expert oversight, proactive monitoring, and strong partnerships with sites and sponsors. Your leadership will drive...

Kansas, USRemote

Reposted 2 days ago

  •   5 - 7 years exp.  •   Healthcare

$180K - $220K *

Transform lives by providing telepsychiatry care to adolescents and adults. Collaborate with a dedicated team to diagnose and treat mental health conditions while enjoying flexible hours and supervisi...

Park Ridge, ILRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Join a dedicated team providing compassionate end-of-life care to patients. Manage caseloads, develop care plans, and ensure seamless communication among families and interdisciplinary teams while adh...

Sonora, CARemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Join a team that's committed to improving lives through innovative ABA therapy. Lead personalized treatment plans, mentor staff, and foster client growth while enjoying flexible schedules and a suppor...

Philadelphia, PARemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Support the development and delivery of tailored ABA therapy for children with autism in diverse settings, ensuring quality care through collaboration, mentorship, and innovative treatment techniques...

Dallas, TXRemote

1 month 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.