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.
$72K - $143K *
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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...
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Champion client engagement and operational excellence by managing consulting teams, driving quality standards, and fostering relationships within Military Health Systems. Lead new business development...
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Board Certified Behavior Analyst - Remote in Georgia
$150K - $200K *
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Board Certified Behavior Analyst - Remote in Georgia
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Medical Science Liaison, CNS - WA, MT, OR, ID, AK
$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...
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$90K - $110K *
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Executive Director, HIMS Services
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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...
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$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...
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$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...
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Director of Patient Services - Remote
$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...
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Staff Psychiatrist (MD or DO) - Remote | Telehealth | Full-Time or Part-Time | South Dakota
$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...
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High Earning Potential | Psychiatrist (MD/DO) | Remote and/or Onsite Opportunities - North Carolina
$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...
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$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...
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Director of Clinical Quality and Outcomes (BCBA-D Preferred)
$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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Business Systems Analyst II - Clarity (Remote)
$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...
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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...
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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...
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eDiscovery Analyst, Enterprise Accounts
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Senior Business Analyst (Billing)
$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...
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Regional Hospice RN (AZ/ CA/ NM)
$98K - $112K *
Join a dedicated team providing compassionate hospice care across multiple locations. Collaborate with interdisciplinary teams to ensure quality patient outcomes while adapting to diverse clinical env...
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Director of Managed Care South
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Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...
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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.