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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$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

Yesterday

  •   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

$88K - $149K *

Join a dynamic team to enhance quality measures for Medicare and Essential Plan populations. Engage with providers and members to improve medication adherence and care gaps while ensuring compliance w...

New York, USRemote

4 days ago

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

$80K - $95K *

Join our Clinical Science team to enhance data integrity in CNS trials by conducting meticulous reviews of clinical interviews, ensuring protocol compliance, and guiding site interventions as a Clinic...

United StatesRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$124K - $155K *

Drive success by managing relationships and promoting solutions in long-term care. Leverage expertise to address customer needs, execute strategic plans, and collaborate with healthcare teams to enhan...

Indiana, USRemote

5 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Lead the charge in optimizing healthcare processes for the Veterans Health Administration, enhancing business and clinical operations. Collaborate with stakeholders to redesign workflows, address chal...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$68K - $103K *

Support the mental health team by conducting assessments, implementing crisis interventions, and ensuring high-quality care for patients in a dynamic telepsychiatry setting. Collaborate effectively wi...

Charlotte, NCRemote

Reposted yesterday

  •   Less than 5 years exp.  •   Healthcare

$90K - $135K *

Join a team that's shaping innovative EPM solutions. Utilize your expertise to implement planning and performance management tools integrated with NetSuite, driving successful project outcomes through...

United StatesRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$145K - $155K *

Lead the delivery of comprehensive psychiatric care for children and young adults. Collaborate with an interdisciplinary team to provide evaluations, treatment planning, and medication management, fos...

New Jersey, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$130K - $216K *

Transform program administration for a large federal services initiative, overseeing workforce planning, financial operations, and compliance. Collaborate with diverse teams to enhance operational eff...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Business Services

$68K - $106K *

Advance data-driven solutions by leading analytics projects, mentoring teams, and fostering client relationships. Utilize technical expertise to deliver impactful insights and enhance business perform...

Whippany, NJRemote

4 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$99K - $133K *

Pioneer innovative solutions as a Senior Epic Application Analyst, leading Epic application configuration and governance. Collaborate with teams to enhance Electronic Health Records, ensuring optimal...

Olympia, WARemote

Yesterday

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

$94K - $107K *

Transform data governance operations by driving process adoption, supporting data stewards, and enhancing governance tools. Collaborate with teams to ensure compliance, improve workflows, and leverage...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$72K - $130K *

Transform behavioral health case management by leading a dedicated team, ensuring quality care, compliance, and member outcomes while maintaining a manageable caseload. Enjoy remote flexibility and ta...

Las Vegas, NVRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$83K - $99K *

Empower a dedicated team to coordinate therapy and educational services, ensuring compliance with IEPs and IFSPs while fostering collaboration among parents, educators, and healthcare professionals fo...

New York, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$64K - $103K *

Reimagine healthcare investigations by leading complex inquiries into fraud and abuse, transforming data analysis into actionable insights while mentoring a team of investigators to ensure compliance...

Arkansas, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$98K - $163K *

Lead the charge in analyzing healthcare claims data to optimize payment policies and reduce improper payments. Collaborate with stakeholders to develop insights and support audits, ensuring high-quali...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Business Services

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.