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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$325K - $375K *

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Tennessee, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$101K - $165K *

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Columbia, MDRemote

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$98K - $167K *

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Reston, VARemote

Yesterday

  •   8 - 10 years exp.  •   Business Services

$60K - $108K *

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Mesa, AZRemote

Reposted 5 days ago

  •   Less than 5 years exp.  •   Healthcare

$150K - $200K *

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2 days ago

  •   Less than 5 years exp.  •   Healthcare

$200K - $240K *

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Yesterday

  •   8 - 10 years exp.  •   Energy & Utilities

$90K - $120K *

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3 weeks ago

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$132K - $221K *

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2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$160K - $192K *

Drive commercial performance by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative...

United StatesRemote

Today

  •   5 - 7 years exp.  •   Pharmaceuticals & Biotech

$90K - $110K *

Partner with us to ensure exceptional client engagement by managing the entire client lifecycle in revenue cycle management, driving success through effective liaison between operational teams and cli...

Dallas, TXRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$207K - $392K *

Advance your career by managing operations and driving growth, ensuring client satisfaction while developing key relationships with providers and stakeholders in a dynamic and supportive environment...

Illinois, USRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$150K - $195K *

Elevate client relationships by managing key accounts, driving satisfaction and growth. Collaborate with internal teams to deliver tailored solutions, ensuring long-term success and measurable ROI for...

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2 weeks ago

  •   5 - 7 years exp.  •   Business Services

$100K - $158K *

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Lansing, MIRemote

3 weeks ago

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$165K - $180K *

Join a team that's dedicated to delivering compassionate telehealth services. Conduct evaluations, collaborate with care teams, and manage patient outcomes while enjoying a stable salary and a structu...

California, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $120K *

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Virginia, USRemote

4 days ago

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$80K - $95K *

Transform client relationships by driving retention and growth through strategic insights and data analysis. Lead negotiations with complex clients, ensuring profitable partnerships while collaboratin...

North Carolina, USRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$87K - $157K *

Join a team that's dedicated to managing external audits for Risk Adjustment processes. Oversee audit deliverables, collaborate with stakeholders, and ensure compliance while driving continuous improv...

Missouri, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$85K - $199K *

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Brookfield, WIRemote

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Legal & Accounting

$80K - $95K *

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Baltimore, MDRemote

1 week ago

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

$83K - $132K *

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Indiana, USRemote

5 days ago

  •   5 - 7 years exp.  •   Healthcare

$89K - $106K *

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Capitol Heights, MDRemote

1 week ago

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

$105K - $160K *

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Reposted 2 days ago

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$118K - $142K *

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Yesterday

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$175K - $236K *

Champion quality excellence by leading a dynamic team to enhance compliance and drive continuous improvement in clinical development. Collaborate across functions to ensure regulatory readiness and de...

United StatesRemote

Yesterday

  •   8 - 10 years exp.  •   Pharmaceuticals & Biotech

$150K - $180K *

Unlock potential by leading actuarial data analyses and modeling to support cross-functional teams. Collaborate with senior leaders to build tools for trend projections and risk assessments, driving i...

United StatesRemote

5 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

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.