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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$80K - $89K *

Help us provide essential outpatient telehealth services as a Licensed Therapist, working remotely to support diverse patients. Enjoy a flexible schedule, competitive salary, and comprehensive benefit...

New York, NYRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $158K *

Lead a regional workers' compensation claims organization, driving performance and excellence in adjudication, customer service, and compliance. Foster a culture of improvement and collaboration while...

Lansing, MIRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$85K - $100K *

Take ownership of comprehensive audits on construction projects, focusing on compliance and cost control. Utilize your expertise to mentor others, communicate findings, and support procurement process...

United StatesRemote

Reposted 6 days ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $200K *

Inspire positive change by delivering remote ABA services to children and families. Conduct assessments, develop treatment plans, and collaborate with caregivers to ensure meaningful progress in a sup...

Milledgeville, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$180K - $215K *

Deliver exceptional remote outpatient psychiatric care with autonomy, focusing on lower acuity populations. Embrace flexibility in scheduling and session structure, while enjoying comprehensive benefi...

New Jersey, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $120K *

Advance your career by providing innovative DBT therapy via live video to diverse clients. Collaborate with a supportive team, enhance skills through continual learning, and impact lives with evidence...

United StatesRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Shape the future of telehealth by delivering high-quality psychotherapy to older adults in a supportive, flexible environment. Collaborate with a dedicated team while managing personalized treatment p...

Vermont, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Transform your career by leading compliance assurance initiatives that enhance the reliability of the North American electric grid. Collaborate with industry stakeholders to develop and implement risk...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Energy & Utilities

$150K - $300K *

Lead the charge in providing compassionate psychiatric care through telehealth, with full clinical autonomy and support to enhance your patient interactions. Enjoy flexibility in your schedule while c...

RemoteRemote

Reposted 4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$160K - $192K *

Manage territory business plans to drive sales performance, engage healthcare providers, and support product launches. Collaborate with cross-functional teams to optimize patient access and ensure com...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Unlock operational excellence by managing administrative functions, recruiting, and onboarding for a growing inpatient practice. Collaborate with leadership to enhance staffing models and ensure compl...

Silver Spring, MDRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$240K - $280K *

Advance the global medical strategy and execution for an Immunology asset, leading medical affairs activities and ensuring high standards in scientific communication and training while collaborating w...

Boston, MARemote

1 month ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$150K - $200K *

Innovate in the field of Applied Behavior Analysis by providing remote services to children and families. Conduct assessments, develop treatment plans, and collaborate with caregivers to enhance clini...

Georgia, USRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Drive sales performance by executing brand strategies, managing territory, and building strong customer relationships. Focus on patient-centered solutions while adhering to compliance and maximizing s...

Brockton, MARemote

6 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$150K - $175K *

Unlock your potential as an AI Engineer, driving innovative AI solutions from concept to reliable implementation. Collaborate across teams to enhance security, efficiency, and cost-effectiveness in a...

New York, NYRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$300K *

Empower your career in a fully remote psychiatry role, focusing on child and adolescent care. Join a supportive team dedicated to expanding access to mental health services while enjoying flexible sch...

Wisconsin Dells, WIRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $159K *

Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...

United StatesRemote

1 week ago

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

$110K - $159K *

Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...

United StatesRemote

1 week ago

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

$150K - $200K *

Empower children and families by delivering remote ABA services, conducting assessments, and developing tailored treatment plans while collaborating with interdisciplinary teams to ensure effective cl...

Louisville, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$150K - $200K *

Unlock potential as you conduct assessments, develop ABA treatment plans, and supervise technicians. Collaborate with families to foster meaningful progress in a fully remote setting, with future hybr...

Atlanta, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$98K - $163K *

Join our Project Management Office to oversee project coordination and support federal mission activities. Collaborate with teams and stakeholders to ensure timely delivery, manage resources, and enha...

RemoteRemote

2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$90K - $110K *

Transform claims systems processes by managing complex projects and ensuring data integrity. Lead enhancements, mentor analysts, and support internal and external clients while optimizing claims adjud...

Franklin, TNRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $200K *

Unlock potential by providing remote ABA services, conducting assessments, and developing tailored treatment plans for children and families, while collaborating with caregivers and supervising behavi...

Atlanta, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$87K - $157K *

Empower your career by leading recoupment claim management and BOT automation. Collaborate with cross-functional teams to enhance operational efficiency and ensure compliance while managing multiple p...

RemoteRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

Elevate commercial performance by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring complian...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

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.