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.
Inorganic (AA ICP ICP-MS) Sales Specialist (FIELD REMOTE - Southern California)
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Account Specialist (Macon, GA)
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Inspire commercial success by engaging healthcare providers and driving product adoption. Collaborate with cross-functional teams to support launches and optimize patient access, ensuring impactful re...
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Strategic Account Specialist -- Orlando FL
$125K - $155K *
Drive regional sales impact by engaging high-value gastroenterology customers. Collaborate with sales teams to enhance market influence, lead training initiatives, and execute strategic business plans...
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Oncology Account Executive - Los Angeles (South)
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Champion territory growth by driving new account acquisition and expanding existing relationships. Leverage consultative selling and strategic prospecting to position as a preferred partner in tumor p...
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Unlock potential by determining risk acceptability and pricing for complex insurance accounts. Collaborate with brokers, analyze claims, and foster relationships to achieve production goals in a fast...
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Transform provider engagement strategies to enhance performance and quality across multiple business lines. Lead initiatives that optimize relationships, reduce costs, and align with organizational go...
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Senior Manager, Digital Prevention & Interventions
$115K - $152K *
Lead the charge in designing and implementing evidence-based digital prevention interventions, overseeing diverse campaigns while ensuring strategic alignment and effective outcomes through strong pro...
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Clinical Project Research Manager - EDS/RWE/NIS
$110K - $130K *
Elevate project outcomes by leading cross-functional teams to deliver clinical research projects on time and within budget, ensuring compliance with regulatory standards and client expectations while...
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Transform your career by leading regional clinical support initiatives while enhancing patient care. Collaborate with teams and drive strategic execution to achieve business goals in ablation solution...
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Clinical Account Executive, Oncology - Tampa, FL
$110K - $130K *
Join a team that's dedicated to transforming patient outcomes through strategic leadership in oncology. Leverage your clinical expertise and business acumen to build partnerships, drive results, and e...
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Growth Specialist - Remote in Arizona
$72K - $130K *
Lead the charge in driving growth and marketing initiatives within the Nevada Medicare Advantage sector, collaborating closely with brokers and community partners to enhance outreach and engagement ef...
6 days ago
Associate Creative Director, Copy (Pharma Ad Agency Experience Required)
$110K - $130K *
Elevate your career by leading creative projects as you craft compelling narratives. Collaborate with cross-functional teams to ensure brand voice consistency while mentoring junior copywriters and dr...
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$100K - $120K *
Champion the success of independent pharmacies by providing expert guidance, fostering relationships, and enhancing operational strategies to drive profitability and customer engagement across a diver...
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$78K - $88K *
Join us to perform actuarial analyses and support healthcare consulting projects. Collaborate with multidisciplinary teams to develop insights, maintain models, and communicate findings effectively wh...
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$80K - $110K *
Advance client partnerships by managing strategic initiatives, driving engagement, and optimizing healthcare solutions. Collaborate with internal teams to enhance service delivery and achieve clinical...
2 days ago
Business Analyst, IT, Product & Portfolio Center
$80K - $84K *
Join a dynamic team to elicit and document business requirements, bridging the gap between stakeholders and technical teams. Contribute to IT initiatives by ensuring solutions are user-focused and ali...
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Care Manager, Telephonic Nurse
$71K - $97K *
Contribute to patient care continuity as a telephonic Registered Nurse, guiding patients through post-acute services. Leverage your expertise in home health and hospice to ensure optimal care transiti...
3 days ago
Director, Applications - Claims Processing - Remote
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Provide leadership to a tech team implementing Azure cloud solutions, fostering a culture of innovation in application development and strategic business alignment to enhance healthcare processes for...
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Epic Analyst – EpicCare Inpatient/ASAP
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Transform healthcare technology by optimizing EpicCare Inpatient/ASAP applications. Collaborate with stakeholders, provide support, and enhance workflows to ensure efficient clinical operations and us...
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Clinical Solutions Specialist, Ambulatory Surgery Centers (ASC)- West
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Grow your career with a dynamic role focused on driving sales and clinical engagement in Electrophysiology Ambulatory Surgery Centers. Leverage your clinical expertise to build relationships, enhance...
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Board Certified Behavior Analyst | Flexible Remote Career in Georgia
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Join a team that's dedicated to providing impactful ABA services to children and families. You'll conduct assessments, develop treatment plans, and supervise technicians, all while collaborating with...
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Senior Clinic Director- Phase I CRU, Remote US and Canada
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Elevate your career by managing clinical operations across multiple sites, ensuring performance excellence and strategic partnerships. Lead initiatives that drive growth, enhance client relationships...
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Board Certified Behavior Analyst (BCBA): REMOTE 3 days per week!
$87K - $120K *
Champion transformative care by leading ABA programs, ensuring ethical practices, and fostering collaboration with families. Drive client progress through tailored treatment plans and effective team m...
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Board Certified Behavior Analyst (BCBA): REMOTE 3 days per week!
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Unlock potential by leading ABA programs, designing treatment plans, and collaborating with families. Ensure ethical practices while supervising behavior technicians and maintaining client relationshi...
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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.