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.
Senior Clinical Research Associate - Cns
$95K - $115K *
Champion clinical excellence by overseeing studies with a blend of remote and on-site monitoring. Leverage your expertise in CNS, oncology, or metabolic indications to ensure compliance and enhance si...
3 weeks ago
Manager, Pharmacovigilance (US)
$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...
4 days ago
Manager, Pharmacovigilance (US)
$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...
4 days ago
Tribal Liaison - Remote in Nebraska
$72K - $130K *
Unlock potential by fostering partnerships and enhancing health services for Native American communities. Collaborate with providers to ensure culturally responsive care and support service delivery a...
3 days ago
$100K - $120K *
Accelerate your career by driving sales of innovative cancer screening technologies. Collaborate with healthcare providers to enhance patient outcomes and expand market reach while achieving sales tar...
2 days ago
Contracts Officer, UNC Clinical Research Partners
$80K - $95K *
Unlock potential by leading contract negotiations for clinical research, ensuring compliance and efficiency in agreements with industry sponsors. Collaborate with diverse teams to enhance processes an...
1 week ago
Team Lead-Centralized Clinic Support
$99K - $182K *
Develop and lead a dynamic clinical support team, ensuring compliance with workflows and enhancing patient care through effective training, performance monitoring, and collaboration with nursing staff...
2 weeks ago
Client Delivery Manager - Revenue Cycle (REMOTE)
$80K - $95K *
Champion operational excellence by managing client accounts, translating performance data into actionable insights, and fostering strong relationships to align expectations with capabilities. Drive co...
6 days ago
DSHS WSH Chief Medical Officer
$367K *
Transform forensic psychiatric care by leading multidisciplinary teams, overseeing medical operations, and ensuring compliance with regulations. Drive strategic initiatives and enhance service deliver...
1 week ago
BCBA - Board Certified Behavior Analyst (Remote)
$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...
2 days ago
Senior Provider Relations Advocate - Remote within Rhode Island
$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...
3 days ago
Associate General Counsel, Legal (US)
$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...
2 weeks ago
$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...
1 week ago
Senior Clinical Research Associate - CNS - West Coast - Remote
$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...
Reposted 1 week ago
FSP Clinical Research Associate 2 - Salt Lake City, Utah - Oncology
$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...
4 weeks ago
Epic Clinical Sr. Reporting Business Analyst
$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...
2 weeks ago
ROOTS Hub Cloud Platform Engineer (Remote)
$92K - $120K *
Grow your career with a dynamic role focused on designing and supporting cloud infrastructure for health transformation initiatives, ensuring security, scalability, and operational excellence in a col...
2 weeks ago
Workers Compensation Product Specialist
$115K - $120K *
Elevate compliance and product efficiency in Workers' Compensation by managing regulatory filings, implementing bureau changes, and collaborating with cross-functional teams to drive operational succe...
3 weeks ago
$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...
Reposted 1 month ago
After-Hours Charge Nurse - Remote
$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...
Reposted 1 week ago
Workplace Safety Representative 9-12 - Safety Officer
$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...
1 week ago
$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...
6 days ago
$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...
4 days ago
Senior Litigation Counsel (Engineering / Construction)
$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...
2 days ago
Complex/Severe Represented Litigation Adjuster - Florida - Remote
$65K - $110K *
Join a dynamic team to manage and negotiate complex bodily injury claims while providing exceptional customer service through innovative tools. Enjoy the flexibility of remote work while resolving cas...
3 weeks 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.