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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$100K - $120K *

Transform patient care by providing individualized psychiatric support via telehealth. Work independently and collaborate with a diverse team while ensuring ethical practices in a flexible schedule ta...

Kent, WARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team of collaborative professionals providing telehealth psychiatric care, conducting assessments, developing treatment plans, and ensuring compliance with regulations. Enjoy flexible working h...

Columbus, OHRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a dynamic team delivering individualized telehealth psychiatric care. Provide patient assessments, develop treatment plans, and prescribe medications within a collaborative environment, ensuring...

Ankeny, IARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock potential by delivering personalized psychiatric care via telehealth. Enjoy the flexibility of remote work while collaborating with a supportive team of therapists to provide effective treatmen...

Wilmington, NCRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock your potential by providing individualized telehealth psychiatric care, collaborating with a dynamic team of professionals, and making a tangible difference in patients' lives while enjoying fl...

Rockville, MDRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join our team to deliver top-notch telehealth psychiatric care in a collaborative and supportive environment. Enjoy autonomy while providing quality patient assessments, treatment plans, and medicatio...

Silver Spring, MDRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a collaborative telehealth team to provide individualized psychiatric care, conducting assessments, developing treatment plans, and prescribing medications. Enjoy professional autonomy and flexib...

Gaithersburg, MDRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Grow your career by providing telehealth psychiatric care with autonomy. Collaborate with a dynamic team of therapists, conduct assessments, develop treatment plans, and uphold ethical standards in a...

Charlotte, NCRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Empower mental health improvements by providing telehealth psychiatric care in an outpatient setting. Collaborate with therapists, develop treatment plans, and deliver patient-focused care with autono...

Bellevue, WARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in providing individualized telehealth psychiatric care with autonomy. Collaborate with therapists, manage treatment plans, and ensure patient-centered outcomes while adhering to legal...

Raleigh, NCRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Support psychiatric care delivery via telehealth, conducting assessments and managing treatment for diverse patients. Collaborate with a team of therapists while enjoying flexible work hours and minim...

Canton, OHRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Drive individualized psychiatric care through telehealth, ensuring compliance with regulations and ethical standards. Collaborate with a dedicated team to provide optimal patient support in a flexible...

Annapolis, MDRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a collaborative telehealth team to provide individualized psychiatric care, conduct assessments, develop treatment plans, and prescribe medication while maintaining high professional standards an...

Dubuque, IARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform patient care by providing individualized psychiatric services via telehealth, conducting assessments, developing treatment plans, and collaborating with diverse healthcare teams to enhance m...

West Des Moines, IARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform individual psychiatric care through telehealth services, providing impactful patient assessments, treatment plans, and medication management in a collaborative, autonomous environment tailor...

Phoenix, AZRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Unlock your potential by delivering effective psychiatric care via telehealth in a collaborative environment that values autonomy and professional growth, ensuring ethical treatment tailored to indivi...

Renton, WARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Lead the charge in providing remote psychiatric care by conducting assessments, developing treatment plans, and prescribing medications while enjoying autonomy in a collaborative team environment focu...

Spokane Valley, WARemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Inspire community collaboration as a leader driving youth reconnection efforts. You'll unite diverse stakeholders to enhance education, training, and employment pathways for young people, ensuring las...

United StatesRemote

Yesterday

  •   Less than 5 years exp.  •   Hospitals & Medical Centers

$105K - $125K *

Drive impactful disaster recovery efforts by overseeing construction projects, ensuring compliance with regulations, and leading quality control initiatives. Collaborate with teams to enhance communit...

Florida, USRemote

3 days ago

  •   5 - 7 years exp.  •   Business Services

$122K *

Elevate your career by managing global projects in Neuroscience, ensuring compliance, budget adherence, and successful collaboration across cross-functional teams to drive milestone achievement and en...

United StatesRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$220K - $240K *

Accelerate the mission of expanding college access by leading strategic initiatives, fostering statewide partnerships, and guiding a dedicated team to enhance educational pathways for all California s...

California, USRemote

2 weeks ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$120K - $175K *

Join a team that's shaping the future of legal operations by drafting and negotiating agreements, supporting compliance, and enhancing efficiency through innovative technology and collaboration across...

United StatesRemote

2 weeks ago

  •   Less than 5 years exp.  •   Finance & Insurance

$87K - $161K *

Empower healthcare delivery by overseeing complex care plans focused on behavioral health needs. Collaborate with care management teams to enhance member outcomes through expert guidance and personali...

North Carolina, USRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$130K - $216K *

Join a dynamic team to lead technology consulting projects in biopharma, ensuring successful implementation of patient services solutions. Collaborate with clients and cross-functional teams to drive...

United StatesRemote

3 days ago

  •   5 - 7 years exp.  •   Business Services

$70K - $105K *

Champion managed care programs by collaborating with clinical teams and administrators to ensure efficient referral and authorization processes, enhancing patient care and operational excellence in in...

Duluth, MNRemote

4 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.