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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$110K - $130K *

Join a dynamic team providing strategic legal counsel on employment law matters, including employee relations and litigation management. Collaborate with HR and business leaders to mitigate risks and...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$300K - $500K *

Transform lives by providing patient-centered psychiatric care through telehealth. Enjoy full clinical autonomy, flexible scheduling, and significant administrative support while collaborating with a...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Deliver exceptional leadership as you guide a remote team of claims adjusters, ensuring operational excellence and high-quality customer service across Montana and Southern Idaho. Drive performance, m...

Montana, USRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$174K - $374K *

Lead the Medicare Appeals team, overseeing daily operations and ensuring compliance. Collaborate with healthcare professionals to enhance efficiency and provide expert guidance on Medicare policies wh...

Connecticut, USRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$72K - $115K *

Innovate your career as you provide exceptional service, investigate claims, and negotiate settlements. Leverage your expertise in property adjustments to support customers through complex claims, ens...

Detroit, MIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$180K - $220K *

Provide innovative legal strategies to navigate regulatory challenges, directly influencing corporate growth. Lead comprehensive legal functions such as contracts, compliance, and governance in a dyna...

RemoteRemote

Reposted 1 month ago

  •   8 - 10 years exp.  •   Enterprise Technology

$110K - $120K *

Accelerate growth in the Assisted Living sector by leading business development initiatives, collaborating with cross-functional teams, and driving customer acquisition strategies to meet revenue obje...

Portland, ORRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Engage in providing essential Occupational Therapy services to children, conducting evaluations, tracking progress, and collaborating with families and educators to support individualized goals in a s...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Unlock potential by delivering tailored Occupational Therapy services to children, conducting assessments, and collaborating with families and educators to support individual goals in a school setting...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Shape the future of children's therapy by delivering impactful Occupational Therapy services in educational settings. Collaborate with families and professionals to enhance child development and track...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Elevate children's potential by providing essential Occupational Therapy services in a collaborative school environment, ensuring progress through evaluations, IEP compliance, and teamwork with famili...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Unlock your potential by providing essential Occupational Therapy services to children, conducting evaluations, and collaborating with families and educators to support each child's development and pr...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Contribute to the development of children by providing essential Occupational Therapy services in a school setting. Collaborate with educators and families to track progress and ensure IEP goals are m...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$112K - $187K *

Drive impactful Occupational Therapy services for children, conducting assessments, tracking progress, and collaborating with families and educators to achieve individualized goals in a school setting...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$107K - $166K *

Elevate healthcare engagement by connecting with providers through innovative tools, enhancing patient care and experiences. Collaborate with cross-functional teams to drive insights and strategic dec...

RemoteRemote

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$80K - $88K *

Transform the claims process by analyzing Lost-Time Workers Compensation claims, ensuring timely resolutions while delivering exceptional service to clients across various industries. Join a dynamic t...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$170K - $200K *

Elevate our Enterprise business by building impactful relationships with brokers and consultants. Drive engagement strategies, generate new business opportunities, and enhance BetterHelp's presence in...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Healthcare

$150K - $200K *

Join a team that's dedicated to providing impactful ABA services remotely. You'll conduct assessments, develop treatment plans, and supervise technicians to foster meaningful progress for children and...

Albany, GARemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$248K - $373K *

Shape the future of healthcare by leading clinical reviews of appeals and grievances. Collaborate with medical directors and teams to enhance quality and access across various health plans while worki...

Cypress, CARemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$112K - $149K *

Join a team that's dedicated to providing legal support in mortgage servicing. You'll ensure compliance with regulations, draft essential documents, and collaborate with operational teams to minimize...

RemoteRemote

2 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $95K *

Drive comprehensive legal support across diverse business functions, managing contracts, insurance, and litigation. Collaborate with cross-functional teams to ensure compliance and facilitate growth i...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Real Estate & Construction

$252K - $315K *

Champion psychiatric practice excellence by developing standards and frameworks, enhancing clinician support, and driving quality improvement initiatives to elevate patient outcomes and operational ef...

United StatesRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$185K - $327K *

Unlock potential by leading security strategy and architecture, partnering with the CISO to enhance technical oversight and incident response. Drive secure practices across teams while mentoring engin...

United StatesRemote

3 weeks ago

  •   11 - 15 years exp.  •   Finance & Insurance

$60K - $107K *

Elevate the standard of care by reviewing ABA treatment requests and providing essential autism education to families. Collaborate with providers to ensure effective treatment plans while working remo...

Eden Prairie, MNRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$110K - $130K *

Elevate your career by managing full life cycle subcontract activities, ensuring compliance, and driving supplier performance. Collaborate with cross-functional teams to optimize procurement strategie...

United StatesRemote

4 days ago

  •   5 - 7 years exp.  •   Information Technology

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.