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 *

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1 week ago

  •   5 - 7 years exp.  •   Healthcare

$85K *

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United StatesRemote

Yesterday

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

$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...

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1 week ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $180K *

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Chicago, ILRemote

1 week ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$120K - $165K *

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3 weeks ago

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$210K - $225K *

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3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$80K - $95K *

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Reposted 3 weeks ago

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$96K - $128K *

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4 days ago

  •   8 - 10 years exp.  •   Retail & Consumer Goods

$80K - $95K *

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Overland Park, KSRemote

4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$100K - $120K *

Shape the future of mental health care by providing comprehensive psychiatric evaluations, medication management, and collaborative treatment in a patient-centered outpatient setting, ensuring safe pr...

Georgia, USRemote

Reposted 2 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $130K *

Unlock your potential by driving complex provider compensation projects, providing analytical support, and collaborating with leadership to enhance compensation strategies within a dynamic healthcare...

Eden Prairie, MNRemote

Yesterday

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$68K - $126K *

Elevate client success by serving as a strategic partner to financial professionals, driving growth and retention through consultative sales expertise and relationship management across your assigned...

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2 days ago

  •   5 - 7 years exp.  •   Finance & Insurance

$110K - $130K *

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Dallas, TXRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $95K *

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Arizona, USRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$129K - $162K *

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Reposted 4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$155K - $171K *

Lead transformative consulting projects by conducting in-depth research and presenting strategic recommendations. Collaborate with clients and junior team members to drive high-quality deliverables an...

Chicago, ILRemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$160K - $180K *

Lead sales initiatives in a designated territory by developing and executing strategic business plans, fostering relationships with healthcare professionals, and driving product awareness and availabi...

Columbus, OHRemote

4 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$88K - $105K *

Analyze trends and develop strategic reports to enhance revenue cycle efficiency. Collaborate with management and key departments to identify opportunities and risks, presenting data-driven insights t...

Los Angeles, CARemote

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$54K - $116K *

Empower patients by leveraging your clinical expertise as a Utilization Management Nurse Consultant. Collaborate with providers to ensure timely, medically necessary care through thorough clinical rev...

Missouri, USRemote

Today

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$108K - $200K *

Champion the resolution of complex commercial casualty claims by delivering exceptional customer service, conducting thorough investigations, and collaborating with defense counsel to ensure fair outc...

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Yesterday

  •   8 - 10 years exp.  •   Finance & Insurance

$87K - $119K *

Transform provider negotiations across diverse medical lines, ensuring compliance and strategic alignment. Collaborate with teams to enhance contract proposals and implement innovative payment models...

Newark, NJRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $168K *

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2 weeks ago

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$110K - $130K *

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Austin, TXRemote

1 week ago

  •   5 - 7 years exp.  •   Information Technology

$125K - $130K *

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Arizona, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$180K - $220K *

Join our dedicated team to provide comprehensive psychiatric care in an in-patient setting. Collaborate with healthcare professionals to develop individualized treatment plans for clients with diverse...

Southaven, MSRemote

3 weeks ago

  •   Less than 5 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.