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.
$80K - $95K *
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$90K - $200K *
Optimize client relationships and drive revenue growth by sourcing and managing commercial and contract surety bonds. Collaborate with industry partners to navigate financial requirements and enhance...
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Senior Director, Client Success
$150K - $180K *
Reimagine client partnerships by managing complex relationships, driving performance, and leading recovery strategies. Collaborate with executives to ensure client success and identify growth opportun...
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Change Management and Adoption Consultant
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$125K - $145K *
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Optimize client success by leading strategic relationships and enhancing revenue cycle performance. Drive measurable improvements, manage escalations, and ensure value realization across healthcare so...
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Licensed Washington Psychologist - Adult Autism Assessment - Remote PT or FT - Up to 115K
$100K - $115K *
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Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join us to provide impactful telehealth therapy as a Licensed Marriage and Family Therapist. You'll manage a diverse caseload, utilizing evidence-based techniques to foster communication and emotional...
3 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Champion mental wellness by providing remote therapy to individuals, couples, and families. Leverage your expertise in relationship dynamics and personal circumstances to foster healing and growth in...
3 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to supporting clients through relationship and family challenges. As a licensed clinician, you'll manage your own cases, provide therapy via telehealth, and ensure compreh...
3 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to transforming lives through virtual therapy. As an LMFT, you'll provide essential support to individuals, couples, and families, utilizing your expertise to address a va...
3 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Unlock your potential as a Licensed Marriage and Family Therapist, providing virtual counseling to clients in Alabama. Collaborate on treatment plans, monitor progress, and support individuals, couple...
4 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Explore the opportunity to provide virtual therapy, guiding individuals, couples, and families through relationship challenges while maintaining clinical excellence and confidentiality in a remote set...
4 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a dynamic team as you provide virtual therapy, enhancing client relationships and emotional well-being through practical interventions and structured support. Your expertise will empower clients...
4 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to transforming lives through virtual therapy. In this full-time remote role, you'll support clients in navigating relationship challenges and emotional stressors, fosteri...
4 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Empower individuals and families by delivering virtual therapy sessions, managing a consistent caseload, and applying evidence-based approaches to foster emotional well-being in a fully remote environ...
4 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Elevate your career by providing virtual therapy to individuals, couples, and families. Utilize your expertise to address relationship and family dynamics while maintaining clinical records and confid...
6 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Champion the mental well-being of individuals, couples, and families through telehealth. Lead therapeutic sessions, guide clients through challenges, and maintain accurate records while ensuring compl...
6 days ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to providing virtual therapy services across Texas. This full-time remote role involves managing an active caseload, conducting assessments, and delivering structured, eth...
1 week ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Provide virtual mental health care by conducting telehealth therapy sessions, supporting clients in understanding relationship patterns, and facilitating emotional and behavioral change through practi...
1 week ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to providing telehealth therapy to individuals, couples, and families. You'll address relationship issues, family stress, and life changes while maintaining clinical docum...
1 week ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to enhancing family dynamics through remote therapy. You'll provide support to clients, develop tailored treatment plans, and track progress, all while working in a flexib...
1 week ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Join a team that's dedicated to enhancing family dynamics through virtual therapy. As an LMFT, you'll support individuals and families in navigating relationship challenges, fostering communication, a...
1 week ago
Licensed Marriage and Family Therapist (LMFT)
$115K - $120K *
Transform lives by providing remote therapy services to individuals, couples, and families. Utilize your expertise to address relationship concerns, emotional stress, and behavioral health challenges...
1 week 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.