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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$72K - $143K *

Join a team that's dedicated to facilitating smooth transitions from inpatient care to home. Leverage your clinical expertise to manage care effectively, ensuring members receive appropriate support a...

Baltimore, MDRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $102K *

Shape impactful mental health therapy for school-aged children through virtual care, collaborating with educators and mentors while embracing technology in a flexible environment. Deliver quality serv...

Alaska, USRemote

Reposted yesterday

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

$110K - $130K *

Deliver expert advisory services to life sciences firms, optimizing government pricing strategies and ensuring compliance. Collaborate with clients to support project execution and drive impactful out...

Philadelphia, PARemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$99K *

Empower healthcare access by providing technical support for Epic Cheers Call Management. Enhance user experience through issue resolution, workflow optimization, and the introduction of digital engag...

Morrisville, NCRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$149K - $248K *

Champion client engagement and operational excellence by managing consulting teams, driving quality standards, and fostering relationships within Military Health Systems. Lead new business development...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Business Services

$150K - $200K *

Join a team that's dedicated to providing impactful ABA services to children and families. Conduct assessments, develop treatment plans, and collaborate with caregivers to foster meaningful progress i...

Atlanta, GARemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $200K *

Support meaningful clinical progress by conducting assessments and developing ABA treatment plans. Collaborate with caregivers and supervise technicians to enhance the lives of children with autism an...

Milledgeville, GARemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $224K *

Engage with key stakeholders to enhance patient outcomes through strategic medical insights and collaboration. Drive ecosystem initiatives and contribute to local business strategies while ensuring al...

Seattle, WARemote

2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Empower clients by leading ABA treatment development, mentoring staff, and collaborating with families to ensure impactful care. Drive quality services while enjoying a flexible, supportive work envir...

Lansing, MIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $180K *

Transform healthcare administration by leading enterprise-wide HIMS operations, ensuring compliance and driving performance improvement across a multi-state network while fostering an engaged workforc...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Hospitals & Medical Centers

$70K - $94K *

Champion your career by leading audits and coding for medical records, ensuring compliance with industry standards and tackling fraud investigations to enhance service delivery across health plans...

Newark, NJRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive operational excellence in referral management by leading a dynamic team, optimizing processes, and enhancing patient access across multiple service lines. Collaborate cross-functionally to ensur...

North Carolina, USRemote

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$125K - $150K *

Shape innovative solutions by leveraging your expertise in a dynamic office environment. Collaborate with cross-functional teams and contribute to project success while ensuring high standards of accu...

North Carolina, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$300K - $500K *

Join a pioneering team of psychiatrists providing patient-centered care via telehealth. Enjoy flexibility and autonomy while being supported by a robust administrative infrastructure, allowing you to...

RemoteRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $220K *

Engage in comprehensive psychiatric evaluations and treatment, providing medication management and collaborating with interdisciplinary teams to ensure high-quality patient care in an outpatient setti...

North Carolina, USRemote

Reposted 3 days ago

  •   Less than 5 years exp.  •   Healthcare

$68K - $113K *

Join a team that's dedicated to transforming disability claims through expert clinical assessments. Collaborate with healthcare providers and utilize your clinical expertise to improve patient outcome...

United StatesRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

Innovate clinical quality systems for scalable care delivery, ensuring standards meet payer expectations and driving measurable performance improvements across independent health providers...

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Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $136K *

Unlock potential by providing advanced technical support for business systems. Analyze data, implement solutions, and enhance user experience while ensuring compliance with organizational objectives i...

Raleigh, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$92K - $110K *

Contribute to advancing enterprise Identity, Credential, and Access Management capabilities by providing systems analysis, requirements traceability, and technical documentation support across multipl...

Washington, DCRemote

2 days ago

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

$215K - $408K *

Join a team that's dedicated to enhancing medical management and quality improvement. Collaborate with clinical teams to optimize patient care, support performance initiatives, and drive effective uti...

Georgia, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$215K - $408K *

Lead the charge in enhancing medical management and quality improvement. Drive utilization review, collaborate with providers, and implement performance initiatives to optimize care quality and cost-e...

RemoteRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Champion the management and execution of complex e-discovery projects, collaborating with legal teams to ensure successful outcomes. Oversee multiple projects while mentoring a team, maintaining quali...

United StatesRemote

1 week ago

  •   8 - 10 years exp.  •   Legal & Accounting

$64K - $147K *

Shape the future of healthcare by collaborating with stakeholders to document and analyze business requirements, ensuring innovative solutions and best practices are implemented throughout the project...

Lansing, MIRemote

2 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$98K - $112K *

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United StatesRemote

2 days ago

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

$135K - $180K *

Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...

Georgia, USRemote

Reposted 3 days ago

  •   5 - 7 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.