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.
$100K - $130K *
Accelerate clinical trial success by leading site monitoring efforts, ensuring compliance, and providing expert guidance to the CRA team. Collaborate cross-functionally to resolve issues and enhance s...
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$110K - $130K *
Lead clinical trial monitoring efforts, ensuring compliance and quality. Collaborate with cross-functional teams to address site issues, manage budgets, and provide oversight. Drive successful study e...
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$108K - $167K *
Join a team that's dedicated to enhancing patient care through clinical leadership and operational excellence. Drive quality improvement initiatives and support compliance across multiple bases while...
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Senior Claims Adjuster (Workers' Compensation)
$78K - $119K *
Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...
3 days ago
$84K *
Transform the educational landscape by providing specialized instruction and support to K-12 students with disabilities. Collaborate with families and staff to ensure academic success and personal gro...
2 weeks ago
Senior Analyst, Medical Economics - UM Analytics (Remote)
$90K - $110K *
Drive impactful medical economics analysis by extracting and synthesizing data to identify trends, enhance financial performance, and support executive decision-making across healthcare operations and...
2 weeks ago
Associate Director, Compliance
$110K - $130K *
Drive the enhancement of Compliance Monitoring and Testing programs, ensuring regulatory alignment and effective risk management. Collaborate with stakeholders to improve operational efficiency and su...
4 days ago
Sr Cloud Security Engineer I (Remote)
$146K - $170K *
Lead the charge in enhancing cloud security by architecting and implementing robust technical controls while ensuring compliance with industry standards like HITRUST and NIST in a dynamic, remote work...
Reposted 3 weeks ago
$110K - $130K *
Unlock potential by providing strategic legal guidance on privacy and data protection. Collaborate with cross-functional teams to ensure compliance with U.S. and global regulations while managing comp...
2 weeks ago
Board Certified Behavior Analyst | Georgia | Remote
$150K - $200K *
Deliver comprehensive ABA services remotely, conducting assessments, developing treatment plans, and supervising technicians to enhance client outcomes while collaborating with families and interdisci...
Yesterday
Board Certified Behavior Analyst | Georgia | Remote
$150K - $200K *
Pioneer innovative ABA services remotely, conducting assessments and developing tailored treatment plans while supervising technicians and collaborating with families to enhance client outcomes...
Yesterday
Board Certified Behavior Analyst | Georgia | Remote
$150K - $200K *
Join a team that's dedicated to providing impactful ABA services remotely. You'll conduct assessments, develop treatment plans, and collaborate with caregivers to enhance the lives of children with au...
Yesterday
Psychiatric Mental Health Nurse Practitioner - Remote
$145K - $203K *
Join a dynamic team to diagnose and treat mental health disorders, providing individual and group therapy while collaborating with healthcare professionals to ensure comprehensive patient care and edu...
3 weeks ago
$82K - $111K *
Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...
3 weeks ago
Medical Advocacy & Medical Education Director
$203K - $253K *
Strategize and lead patient advocacy and medical education initiatives, fostering collaboration with stakeholders to enhance patient engagement and inform Medical Affairs strategies. Drive impactful i...
Yesterday
Remote Psychiatrist (MD/DO) - Delaware
$325K - $375K *
Grow your career in a fully remote outpatient psychiatry role, providing flexible, patient-focused care to diverse populations while enjoying minimal administrative burdens and robust support for your...
Reposted 3 weeks ago
Prior Authorization Pharmacist - Oregon Medicaid (Remote)
$90K - $129K *
Optimize medication utilization by reviewing prior authorization requests, collaborating with stakeholders, and enhancing clinical strategies to ensure safe and effective pharmaceutical solutions...
1 week ago
Licensed Marriage & Family Therapist (LMFT) - Couples & Family Therapy
$85K - $102K *
Empower patient care as a licensed therapist, providing essential mental health services. Join a supportive team focused on clinical excellence, offering flexible schedules and competitive compensatio...
1 week ago
Psychiatric Nurse Practitioner - North Carolina
$100K - $120K *
Empower clients' mental health journeys through tele-psychiatric care, conducting evaluations, developing treatment plans, and working within a flexible schedule to achieve positive outcomes in a supp...
3 weeks ago
Psychiatric Nurse Practitioner (PMHNP) - Remote
$125K - $135K *
Unlock your potential as a Nurse Practitioner, collaborating with a dynamic team to assess and treat patients' mental health needs, develop tailored treatment plans, and ensure compliance with healthc...
4 days ago
Psychiatric Nurse Practitioner (PMHNP) - Remote
$125K - $135K *
Shape the future of mental health care by providing comprehensive assessments, treatment plans, and patient education. Collaborate with an interdisciplinary team to enhance patient outcomes and ensure...
5 days ago
Psychiatric Nurse Practitioner (PMHNP) - Remote
$125K - $135K *
Take ownership of patient care by assessing mental and physical health, diagnosing disorders, and collaborating with an interdisciplinary team to implement effective treatment plans while ensuring com...
5 days ago
Psychiatric Nurse Practitioner (PMHNP) - Remote
$125K - $135K *
Elevate mental health care by assessing patients and collaborating with teams to create effective treatment plans. Utilize your expertise in psychotherapy and medication management to enhance patient...
5 days ago
Psychiatric Nurse Practitioner (PMHNP) - Remote
$125K - $135K *
Elevate mental health care by assessing patients, diagnosing disorders, and collaborating with a team to implement effective treatment plans. Your expertise will guide individuals toward recovery whil...
5 days ago
Director, Clinical Research and Cancer Center Advisory Services
$175K - $200K *
Drive impactful change in healthcare consulting by leveraging your expertise in clinical operations and research administration. Collaborate with executive leaders to solve complex challenges and fost...
2 weeks 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.