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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$96K *

Empower students by delivering essential Tier 2 and Tier 3 counseling services remotely. Collaborate with educational teams to create tailored treatment plans and support at-risk populations, ensuring...

Georgia, USRemote

3 weeks ago

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

$124K - $155K *

Engage your sales expertise to drive business growth in long-term care, building relationships with healthcare professionals. Strategically address customer needs while promoting solutions and influen...

Maryland, USRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$110K - $130K *

Transform client marketing strategies by leading interdisciplinary teams, delivering innovative solutions based on research and best practices, while fostering long-lasting client relationships to ach...

Chicago, ILRemote

3 weeks ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$113K - $188K *

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

RemoteRemote

1 week ago

  •   5 - 7 years exp.  •   Business Services

$88K - $190K *

Provide oversight and leadership for healthcare management teams, ensuring effective interventions and adherence to regulatory standards while achieving operational and quality objectives across the c...

Illinois, USRemote

2 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$83K - $111K *

Champion workplace integrity by leading complex investigations into employee misconduct, ensuring compliance with laws and policies while fostering a fair and accountable environment across a large pu...

Washington, USRemote

2 weeks ago

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

$110K - $130K *

Champion operational excellence by leading CFS initiatives, coaching managers, and driving performance metrics to enhance profitability and customer satisfaction across the organization...

Texas, USRemote

6 days ago

  •   Less than 5 years exp.  •   Manufacturing & Automotive

$188K - $359K *

Lead pharmacy benefit management initiatives across diverse product lines, ensuring compliance and enhancing member access. Collaborate with cross-functional teams to optimize clinical outcomes and dr...

RemoteRemote

3 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$135K - $237K *

Lead the charge in optimizing Utilization Management operations, driving project success, enhancing clinical collaboration, and ensuring compliance with regulatory standards to improve member outcomes...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

Shape the future of healthcare by driving commercial performance and building strong relationships with providers. Engage in product launches and optimize patient access to innovative therapies across...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$150K - $200K *

Shape the future of behavioral health by providing remote ABA services, conducting assessments, developing treatment plans, and collaborating with families to enhance clinical outcomes for children wi...

Rome, GARemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform healthcare by optimizing Epic applications that ensure safe patient care and enhance operational workflows. Collaborate with cross-functional teams to build, train, and support vital system...

Ohio, USRemote

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $145K *

Champion the development of clinical operations by managing a network of providers, establishing policies, and enhancing quality programs. Collaborate with leadership to ensure operational excellence...

United StatesRemote

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$130K - $160K *

Unlock potential by driving sales and education in oncology medical devices. Collaborate with healthcare professionals to enhance treatment options for liver and pancreatic cancer while achieving regi...

United StatesRemote

4 days ago

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$150K - $200K *

Transform lives by providing remote ABA services, conducting assessments, and developing tailored treatment plans for children and families, while collaborating with interdisciplinary teams to ensure...

Gainesville, GARemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Lead a dynamic safety program across Western US Operations, ensuring compliance and promoting a culture of safety. Collaborate with teams at all levels to implement best practices and drive continuous...

Atlanta, GARemote

1 week ago

  •   5 - 7 years exp.  •   Telecommunications & Hardware

$99K - $110K *

Analyze healthcare informatics operations and EHR workflows to identify improvements. Collaborate with SMEs to enhance user support, training, and adoption strategies, ensuring effective program imple...

Arlington, VARemote

5 days ago

  •   5 - 7 years exp.  •   Business Services

$82K - $128K *

Shape data-driven strategies by developing and automating analytics solutions. Collaborate with cross-functional teams to enhance reporting capabilities and optimize operational performance in a dynam...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $119K *

Partner with us to enhance patient care by managing comprehensive case support across healthcare settings. Utilize your nursing expertise to coordinate services, ensure patient adherence, and drive ef...

RemoteRemote

3 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$209K - $313K *

Lead regional medical strategy by fostering key stakeholder relationships, optimizing patient-centric initiatives, and ensuring alignment with business goals to enhance healthcare outcomes and collabo...

Washington, DCRemote

3 days ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$125K - $150K *

Manage diverse legal matters in a dynamic industrial environment, providing strategic support across commercial contracts, regulatory compliance, and corporate governance while collaborating closely w...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Energy & Utilities

$70K - $121K *

Help us drive impactful reserving strategies by leveraging actuarial expertise and analytical skills. Collaborate with management and partners to execute projects that enhance business goals through e...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$83K - $157K *

Join a team that's dedicated to providing high-quality legal advice and support to state agencies. Collaborate with diverse clients on complex legal issues while fostering a professional and inclusive...

Olympia, WARemote

1 week ago

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

$98K - $167K *

Innovate within our network security team by leading the engineering and automation of enterprise security platforms. Drive technical excellence and enhance infrastructure management through modern pr...

United StatesRemote

1 week ago

  •   Less than 5 years exp.  •   Finance & Insurance

$80K - $133K *

Innovate with us to deliver AI and machine learning solutions that transform data into actionable insights. Collaborate across teams to enhance fraud detection and anomaly analysis, leveraging advance...

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.