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.
Assessment and Authorization Team Lead (Remote)
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Medical Information Client Manager - Team Lead
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Sr. Manager, LOA and Accommodations
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Join us to lead the leave and accommodations function, ensuring compliance and supporting employees through critical life moments. You'll manage casework, oversee a team, and collaborate across depart...
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Champion growth strategies across HHS, leveraging deep market knowledge and relationships to drive business development, capture, and delivery in a dynamic federal health environment...
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Transform your career by partnering with business teams in a dynamic legal environment. Leverage your commercial instincts and regulatory expertise to make an immediate impact across two brands in a f...
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Manage clinical trial oversight and site interactions while supporting CNS studies. Enjoy the flexibility of remote work combined with on-site visits. Ensure compliance, data quality, and patient safe...
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Drive compliance excellence by managing global monitoring programs and investigations. Collaborate with stakeholders to enhance compliance infrastructure and ensure adherence to regulations, while lea...
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Drive sales and distribution of AEDs and related systems in the Education and Utility sectors. This high-impact role focuses on creating demand, building a pipeline, and closing complex opportunities...
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Elevate operational efficiency by providing high-level administrative support to senior leadership, coordinating meetings, managing correspondence, and ensuring compliance with Navy directives while f...
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Governance Engineer II - Remote
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Make your mark at the forefront of API and AI governance, driving automation and compliance. Collaborate with cross-functional teams to implement standards and enhance security, ensuring responsible i...
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Transform underwriting strategies and enhance organizational capability by providing expert guidance on complex risks. Collaborate cross-functionally to drive performance, monitor trends, and develop...
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Senior Analyst, Decision Science (Client Marketing)
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Elevate client engagement through data-driven insights! As a Senior Analyst, you'll analyze performance metrics, enhance marketing strategies, and drive client retention, ensuring impactful decisions...
5 days ago
Regional Sales Director - Northwest
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Unlock regional growth by leading a high-performing sales team, executing launch strategies, and fostering key customer relationships in a dynamic, fast-paced environment. Drive performance and ensure...
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Accelerate program implementation and stakeholder engagement in pharmaceutical market access. Oversee daily operations, client relations, and staff management while ensuring adherence to budgets and p...
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AJO Campaign Developer, M&R - Remote
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Elevate customer experiences by developing and optimizing consumer journeys within a dynamic marketing organization, leveraging technical expertise and project management skills to drive innovative so...
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Develop and implement individualized ABA treatment plans while supervising behavior technicians and collaborating with caregivers to enhance clinical outcomes for children with autism and developmenta...
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Champion continuous process improvement and organizational redesign, providing expert analysis and guidance to enhance business processes. Collaborate with cross-functional teams to implement effectiv...
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Vice President, AI Innovation & Partnerships
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Elevate AI innovation by leading strategic technology partnerships, driving high-value use cases, and translating complex opportunities into scalable solutions that enhance enterprise capabilities and...
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Occupational Therapist (OT) – Mobile Outpatient
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Senior Business Analyst (Billing)
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Shape the future of business analysis by documenting requirements, collaborating with stakeholders, and delivering innovative solutions. Drive project success through effective communication and manag...
2 weeks ago
Medical Director / Senior Medical Director, Psychiatry
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Help us redefine clinical trial safety by managing comprehensive drug development processes. Collaborate with multidisciplinary teams to ensure adherence to standards, provide medical consultation, an...
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Director, Health Plan Programs and Initiatives
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Join a team that's driving strategic initiatives and operational excellence. This role collaborates with senior leadership to enhance growth plans, manage impactful projects, and ensure alignment acro...
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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.