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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
More
1
caret down

$100K - $120K *

Champion outstanding telehealth therapy by providing evidence-based care to older adults. Enjoy flexible hours, dedicated support, and a collaborative team environment to enhance patient outcomes and...

Delaware, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $100K *

Transform mental health care by providing virtual therapy services, maintaining high-quality standards, and contributing to practice development. Collaborate with a dedicated team while enjoying a fle...

Seattle, WARemote

Yesterday

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

$95K - $100K *

Unlock potential by overseeing complex claims, providing expert guidance, and driving innovative solutions in a dynamic environment. Collaborate with diverse teams to enhance claim handling and foster...

CanadaRemote

3 days ago

  •   Less than 5 years exp.  •   Finance & Insurance

$210K - $255K *

Champion national growth by leading referral partnerships across healthcare and community sectors. Drive measurable results, coach a distributed team, and collaborate cross-functionally to enhance acc...

United StatesRemote

2 days ago

  •   8 - 10 years exp.  •   Healthcare

$63K - $114K *

Shape the future of community health by coordinating seamless transitions for members. Collaborate with care teams to develop effective plans, educate families, and enhance service delivery, ensuring...

RemoteRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Champion innovative telehealth solutions for geriatric psychotherapy, providing flexible, high-quality care while collaborating with a supportive team. Set your own hours and deliver personalized trea...

Indiana, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$354K - $416K *

Elevate your career as a Medical Director, overseeing utilization management with a focus on clinical excellence and compliance. Collaborate with multidisciplinary teams to ensure high standards of ca...

West Virginia, USRemote

2 weeks ago

  •   5 - 7 years exp.  •   Information Technology

$100K - $120K *

Elevate lives by delivering evidence-based psychotherapy to older adults in a supportive, flexible remote environment. Collaborate with a dedicated team while managing your own schedule and focusing o...

Washington DC, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a team that's redefining telehealth by delivering exceptional psychotherapy to older adults. Enjoy flexible hours, comprehensive support, and opportunities for professional growth while making a...

United StatesRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $100K *

Join a team that's dedicated to providing high-quality psychotherapy to older adults. Enjoy flexible scheduling, robust support, and opportunities to grow while making a meaningful impact in a collabo...

Alabama, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Transform mental healthcare for older adults by delivering high-quality, evidence-based psychotherapy in a supportive, fully remote environment. Enjoy flexible scheduling, administrative support, and...

Pennsylvania, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Deliver high-quality virtual psychotherapy to older adults, crafting unique treatment plans while working within a supportive team. Enjoy flexible scheduling and administrative support, enabling focus...

Nevada, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$68K - $113K *

Lead the charge in optimizing coding accuracy and compliance by analyzing complex patient care documentation, providing expert guidance, and enhancing coder education to ensure adherence to ethical st...

United StatesRemote

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$180K - $215K *

Transform outpatient psychiatric care by leveraging your expertise as a PMHNP. Enjoy clinical autonomy, flexible scheduling, and support in a fully remote environment while impacting the lives of lowe...

Alabama, USRemote

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Empower older adults through high-quality teletherapy by delivering personalized, evidence-based care. Collaborate in a supportive team while maintaining autonomy, managing your own flexible schedule...

Washington, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join a supportive virtual care team delivering high-quality psychotherapy to older adults. Enjoy flexible scheduling, dedicated support, and the chance to make meaningful impacts in patients' lives wh...

Rhode Island, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$87K - $161K *

Transform care management by leading a dedicated team to enhance behavioral health services. Collaborate with community partners to ensure comprehensive, member-centered care while fostering a support...

Illinois, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Join us to deliver flexible telehealth psychotherapy for older adults, leveraging modern tools and a supportive team. Set your own schedule and work from home while providing high-quality, evidence-ba...

New Hampshire, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$69K - $101K *

Unlock potential by delivering comprehensive clinical care management services, enhancing health outcomes for diverse populations through assessment, care planning, and coordination across multiple he...

United StatesRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower individuals by providing telehealth counseling, managing caseloads, and collaborating with healthcare professionals to enhance mental well-being and support clients through their emotional cha...

Minneapolis, MNRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$145K *

Unlock your potential by providing compassionate telehealth therapy to diverse clients. Engage in meaningful assessments and treatment planning while enjoying flexible scheduling and support for your...

San Diego, CARemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$145K *

Unlock your potential by providing compassionate telehealth therapy. Join a supportive team dedicated to delivering personalized care and making meaningful connections with clients while enjoying flex...

Sacramento, CARemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Empower the lives of older adults as a licensed clinical psychologist in a flexible, supportive, and collaborative telehealth environment. Enjoy autonomy while delivering evidence-based care and creat...

Oregon, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $138K *

Innovate strategies for managing complex subrogation claims, guiding team members and maximizing recoveries. Leverage expertise in workers' compensation and liability claims to negotiate settlements a...

Lansing, MIRemote

1 week ago

  •   8 - 10 years exp.  •   Finance & Insurance

$90K - $100K *

Advance mental health care by providing quality teletherapy services and collaborating on practice development. Engage with patients aged 10 and up, ensuring professional standards while maintaining c...

Seattle, WARemote

3 weeks ago

  •   Less than 5 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.