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.
FSP Clinical Research Associate 2 - Las Vegas, NV - Oncology
$100K - $112K *
Join a team that's dedicated to advancing clinical research by ensuring high standards of care and compliance in monitoring clinical trials. Leverage your expertise in oncology and clinical monitoring...
1 week ago
Business Process Consultant - Revenue Assurance (Remote)
$95K - $115K *
Engage with cross-functional teams to improve revenue cycle operations by identifying inefficiencies, deploying analytical solutions, and enhancing workflows to maximize revenue and streamline process...
Reposted 1 week ago
BCBA | 50 Percent Remote | $85K-$95K
$85K - $95K *
Join a team that's dedicated to transforming lives through ABA therapy. As a BCBA, you'll lead clinical care, mentor staff, and develop impactful treatment plans, all while enjoying a flexible work en...
Reposted 1 week ago
BCBA | 50 Percent Remote | $85K-$95K
$85K - $95K *
Manage the clinical care of clients by developing ABA treatment plans, mentoring staff, and guiding families. Collaborate with the Clinical Director to ensure high-quality, compassionate services whil...
2 weeks ago
$120K - $150K *
Champion social strategy and community engagement, driving impactful growth across multiple channels. Lead a dynamic team to create culturally relevant content, leveraging AI for efficiency and innova...
2 weeks ago
$90K - $110K *
Innovate data solutions by developing complex reports and analyses to support senior management and client needs. Collaborate with teams to enhance data literacy and provide technical guidance across...
2 days ago
$90K - $100K *
Analyze complex data to develop insightful reports, support client needs, and provide technical guidance to analysts. Collaborate with senior management to enhance decision-making and drive business g...
1 week ago
$80K - $90K *
Join a team that's dedicated to optimizing revenue cycle management in healthcare. Lead billing and collections efforts, drive performance, and enhance processes while supporting a high-performing tea...
2 days ago
$75K - $90K *
Join a team that's dedicated to patient safety in the operating room. As an IOM Technologist, you'll monitor critical neurological functions during surgery, collaborating closely with surgeons to ensu...
1 week ago
Remote BCBA | Georgia | Help Families Move Forward
$150K - $200K *
Transform the lives of children and families by delivering remote ABA services. Conduct assessments, develop treatment plans, and collaborate with caregivers to ensure meaningful progress in a support...
2 days ago
Director Of Business Development / Senior Living Pharmacies
$110K - $130K *
Transform business development in the Assisted Living market by driving customer acquisition and growth initiatives. Collaborate with cross-functional teams to execute sales plans and support revenue...
1 week ago
Account Specialist, Olympia, WA
$160K - $192K *
Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...
1 week ago
Staff Psychiatrist (MD or DO) - Remote | Telehealth | Full-Time or Part-Time | District of Columbia
$300K - $500K *
Elevate patient care by providing telehealth psychiatric services with full clinical autonomy. Join a supportive community of skilled psychiatrists and enjoy flexibility in your schedule while making...
Reposted 4 weeks ago
$87K - $157K *
Unlock compliance excellence by managing auditing, monitoring, and reporting processes to ensure adherence to regulatory standards and enhance operational efficiency across contracts and collaboration...
3 weeks ago
Senior Compliance Analyst (Remote within Texas) - Office of Institutional Compliance
$80K - $95K *
Join us to lead comprehensive audits and compliance reviews, ensuring adherence to federal and state regulations while enhancing operational effectiveness across various departments. Drive risk assess...
3 weeks ago
Financial Institution Manager 14
$82K - $120K *
Unlock your potential by leading the supervision of credit unions, ensuring compliance and risk assessment. Drive impactful change in Michigan's financial services while collaborating with a dynamic t...
Yesterday
$100K - $140K *
Optimize client relationships by ensuring seamless communication and operational excellence. Collaborate across teams to drive client success, manage deliverables, and enhance platform utilization whi...
1 week ago
Clinical Risk Manager, C&F Stop Loss
$71K - $134K *
Unlock potential by leading clinical risk management efforts, leveraging advanced nursing expertise to assess complex medical data, mentor team members, and drive strategic underwriting decisions in a...
3 days ago
$72K - $98K *
Lead the development and evaluation of complex cost allocation methodologies, ensuring compliance and process improvement. Collaborate with teams to transition fiscal operations to Workday while manag...
1 week ago
$85K - $137K *
Drive impactful solutions by configuring and supporting Epic EHR applications, enhancing patient care and provider workflows. Collaborate with members to ensure quality outcomes and efficient integrat...
3 weeks ago
$110K - $130K *
Join a dynamic team as a strategic partner to senior living operators, driving adoption and ROI. Leverage your clinical expertise and commercial acumen to enhance client relationships and ensure succe...
1 week ago
$85K *
Champion quality assurance by developing and executing test strategies to ensure technology solutions meet business and user requirements. Collaborate with cross-functional teams to enhance applicatio...
Yesterday
Senior Incident Response Analyst
$115K - $130K *
Partner with us to drive Major Incident Management, ensuring swift resolution and effective communication across teams. Leverage your expertise to enhance service restoration and support our hosted cu...
1 week ago
Director, Field Access and Reimbursement - Psych
$150K - $180K *
Shape the future of patient access by leading a high-performing team focused on strategic execution and measurable impact in the Psychiatry field. Drive compliance, culture, and collaboration across f...
1 week ago
Managing Consultant - Clinical Documentation Integrity (CDI) - Healthcare
$120K - $165K *
Drive the successful transfer of CDI best practices by mentoring client teams, conducting record reviews, and delivering education. Collaborate with healthcare professionals to enhance documentation a...
3 weeks ago
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.