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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$95K - $115K *

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San Diego, CARemote

3 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$90K - $178K *

Drive excellence in pharmacovigilance by leading teams and ensuring compliance with global safety regulations. Influence patient safety initiatives while managing project delivery across diverse clini...

Durham, NCRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $178K *

Drive excellence in pharmacovigilance by leading teams and projects, ensuring compliance and safety across clinical trials. Leverage scientific expertise and operational oversight to mentor profession...

North Carolina, USRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$72K - $130K *

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Omaha, NERemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

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California, USRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

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Chapel Hill, NCRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$99K - $182K *

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Fairhaven, MARemote

2 weeks ago

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

$80K - $95K *

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United StatesRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$367K *

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Lakewood, WARemote

1 week ago

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

$114K - $218K *

Empower individuals by conducting assessments and developing behavior plans. Play a key role in supervising ABA programs, training staff, and maintaining clinical excellence while fostering a collabor...

Charleston, WVRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $130K *

Unlock potential by serving as a strategic liaison for complex provider relationships, resolving high-impact issues, and enhancing provider experiences through collaboration and effective communicatio...

Providence, RIRemote

3 days ago

  •   5 - 7 years exp.  •   Healthcare

$200K - $398K *

Drive impactful legal strategies in a global clinical research environment, guiding senior leadership on complex regulatory and compliance matters while fostering innovation and risk management across...

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2 weeks ago

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$78K - $206K *

Unlock potential by leading clinical performance improvement projects for Medicare Provider Collaboration groups. Collaborate with teams to enhance population health outcomes, focusing on Stars qualit...

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1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$97K - $193K *

Drive your career by managing clinical research across sites, ensuring compliance and successful execution of studies. Use your expertise to maintain high standards and support critical research that...

Arizona, USRemote

Reposted 1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $112K *

Transform clinical research by effectively monitoring sites, ensuring participant safety, and maintaining data integrity. Collaborate with teams while adapting to a fast-paced environment requiring st...

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4 weeks ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$95K - $115K *

Unlock potential by leading analytics initiatives, transforming data into actionable insights, and mentoring junior analysts. Collaborate with stakeholders to enhance reporting solutions and drive ope...

United StatesRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$92K - $120K *

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Elkin, NCRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $120K *

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3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

$250K - $300K *

Lead the charge in transforming cardiovascular care. Oversee clinical teams, ensuring high standards, build partnerships, and shape value-based care strategies to improve patient outcomes and provider...

United StatesRemote

Reposted 1 month ago

  •   5 - 7 years exp.  •   Healthcare

$133K - $137K *

Reimagine patient care after-hours by leading and coordinating nursing staff, ensuring compliance with clinical standards while fostering a supportive environment for both staff and patients. Join us...

Pleasanton, CARemote

Reposted 1 week ago

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

$66K - $108K *

Drive workplace safety initiatives by investigating and analyzing operations to ensure compliance with safety regulations, fostering a secure environment for Michigan workers through effective practic...

Michigan, USRemote

1 week ago

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

$80K - $120K *

Engage in complex contract administration, ensuring compliance and strategic alignment. Collaborate with stakeholders to navigate contractual obligations and develop innovative solutions that support...

Virginia, USRemote

6 days ago

  •   5 - 7 years exp.  •   Information Technology

$210K - $250K *

Join a dynamic team to lead clinical operations, ensuring quality care and compliance across medical specialties. Collaborate with management and providers to enhance communication and operational eff...

New York, NYRemote

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$175K - $200K *

Lead the charge in managing complex litigation and advising on legal risks, ensuring compliance while collaborating with internal teams and outside counsel to drive effective case strategies and resol...

United StatesRemote

2 days ago

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$65K - $110K *

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Florida, USRemote

3 weeks ago

  •   5 - 7 years exp.  •   Finance & Insurance

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.