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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$124K - $155K *

Accelerate progress at the forefront of AI governance, ensuring safe and compliant AI deployment. Collaborate across departments to manage projects, develop training, and maintain essential documentat...

California, USRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$59K - $100K *

Lead comprehensive Child and Youth Behavioral counseling for military families. Provide essential support and training to children and youth while fostering strong community relationships and ensuring...

RemoteRemote

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$64K - $102K *

Advance mental health and substance abuse care by authorizing services, analyzing data, and coordinating discharge plans. Collaborate with clinical teams to ensure effective treatment and participate...

Frisco, TXRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$93K - $120K *

Transform your career by providing innovative DBT therapy to adolescents through live video sessions. Collaborate with a supportive team, enhance client outcomes with digital tools, and engage in cont...

Massachusetts, USRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$115K *

Empower youth through comprehensive psychological evaluations and clinical supervision. Lead mental health services, ensuring adherence to professional standards while providing direct treatment and f...

Augusta, GARemote

Today

  •   Less than 5 years exp.  •   Healthcare

$108K - $192K *

Elevate telehealth access by providing evidence-based behavioral health care through clinical assessments and personalized treatment plans with a supportive multidisciplinary team in a fully virtual r...

New York, NYRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Inspire excellence in behavioral healthcare by delivering high-quality services to diverse populations. Collaborate with a dedicated clinical team to enhance patient care while enjoying flexible sched...

Brunswick, MERemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$145K - $187K *

Engage with patients by diagnosing and treating mental health disorders. Create personalized treatment plans, conduct ongoing assessments, and collaborate with families while planning community outrea...

California, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Information Technology

$82K - $103K *

Empower individuals by providing exceptional therapy services. Join a dynamic team dedicated to clinical excellence, offering flexible schedules and full support to enhance patient care and profession...

Washington, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Deliver individualized mental health services remotely, enhancing client outcomes. Leverage structured clinical processes in a supportive telehealth setting, ensuring high-quality care and compliance...

Raleigh, NCRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Contribute to client well-being by providing remote therapy sessions, developing treatment plans, and addressing behavioral challenges. This full-time role allows you to make a meaningful impact on cl...

Ames, IARemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Unlock potential by providing compassionate, client-centered therapy to individuals in Rhode Island. Manage a diverse caseload, utilizing your expertise to guide clients through challenges and foster...

Warwick, RIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower individuals by providing remote counseling to adults facing various mental health challenges. Manage client sessions from intake to ongoing care while ensuring compliance with professional sta...

New Bedford, MARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Take ownership of providing remote therapy to clients across Washington, focusing on individual sessions, evaluations, and collaborative care. Utilize your clinical expertise to support clients dealin...

Auburn, WARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower clients by delivering online mental health support, creating tailored goals, and facilitating personal growth. Leverage your clinical skills to foster resilience and understanding in a structu...

Worcester, MARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join a dedicated team providing essential remote mental health counseling, guiding clients through emotional and behavioral challenges. Deliver therapy, create personalized care plans, and ensure supp...

Boston, MARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Join a team focused on delivering impactful remote therapy services. Support clients' emotional wellness by providing professional counseling and documentation, while fostering healthier living patter...

Waterloo, IARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Analyze and resolve complex medical coding issues, ensuring compliance and accuracy in claims. Lead audits, develop training, and collaborate with stakeholders to enhance processes and drive improveme...

United StatesRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $90K *

Join a dedicated Behavioral Health team providing assessment and evidence-based care to diverse populations in various settings. Collaborate with professionals to enhance patient outcomes and support...

Santa Fe, NMRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$78K - $92K *

Engage in impactful virtual counseling for patients with acute mental health conditions. Develop treatment plans, exercise clinical judgment, and collaborate with multidisciplinary teams to enhance be...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Business Services

$100K - $120K *

Unlock your potential by delivering impactful psychotherapy to older adults in a supportive, flexible telehealth environment. Collaborate with a dedicated team while setting your own hours, ensuring a...

Alaska, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $113K *

Unlock potential by delivering high-quality behavioral healthcare in a supportive environment. Join a dedicated team of licensed therapists committed to clinical excellence and work-life balance, prov...

Mentor, OHRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $109K *

Oversee complex Allied Health claims, utilizing your expertise to analyze, negotiate, and resolve high exposure losses while fostering strong relationships with internal teams and external clients for...

United StatesRemote

3 weeks ago

  •   8 - 10 years exp.  •   Finance & Insurance

$79K - $105K *

Shape the future of patient care by coordinating high-quality, cost-effective services. Utilize your clinical expertise to advocate for members, ensuring appropriate care transitions and fostering col...

Hopewell, NJRemote

2 days 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.