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.
$74K - $90K *
Help us shape the future of behavioral health by providing transformative clinical services. Collaborate with a dedicated team to deliver best practice interventions and engage effectively with client...
Reposted 1 week ago
$80K - $95K *
Transform the admissions process by leading a dedicated team, implementing strategic initiatives, and ensuring quality management in a dynamic healthcare environment focused on mental health services...
Today
Adolescent Behavioral Health & Addiction Clinician
$60K - $104K *
Advance your career by providing essential counseling and treatment planning for clients and families in a multidisciplinary team, ensuring compliance with healthcare regulations and fostering a suppo...
2 days ago
Assistant Director of Clinical Programs
$80K - $95K *
Transform clinical operations by providing leadership and support to enhance program effectiveness, ensuring compliance and collaboration across departments to deliver quality mental health services t...
4 weeks ago
$180K - $192K *
Lead the charge in providing comprehensive mental health services to children and adolescents. Oversee a dedicated team, ensuring quality care, training, and compliance while collaborating with variou...
1 week ago
Founding Clinic Manager - Outpatient SUD Treatment
$90K - $110K *
Manage daily operations of an outpatient behavioral health clinic, ensuring high-quality care delivery, team morale, and financial sustainability while adhering to harm reduction principles and foster...
Reposted 6 days ago
Program Manager/Director - Outpatient SUD Treatment
$90K - $130K *
Manage operations of a new outpatient SUD treatment clinic. Oversee staff, ensure compliance and clinical excellence while fostering community partnerships and cultivating a positive team culture to d...
Reposted 6 days ago
Licensed Clinician Social Worker (LCSW)
$76K - $87K *
Join a team that's shaping innovative clinical services while providing essential therapy to patients. Enjoy a consistent daytime schedule with opportunities for professional growth and collaboration...
1 week ago
SOCIAL WORK/COUNSELOR IV-CoT-CMHHIP
$87K - $122K *
Join a dynamic team as a Clinical Supervisor, overseeing a multidisciplinary unit. Lead clinical processes, ensure compliance with standards, and provide high-quality therapy while managing personnel...
2 weeks ago
$80K - $95K *
Lead and optimize day-to-day operations of a clinical program, providing guidance and support to staff while ensuring effective treatment and stakeholder engagement. Collaborate on strategic planning...
6 days ago
$80K - $95K *
Unlock the potential of our clinical programs by leading operations, guiding staff, and enhancing service delivery. Collaborate with teams to develop strategic plans, ensure compliance, and foster com...
3 weeks ago
Psychiatrist, Addiction Outpatient
$228K - $360K *
Advance outpatient addiction psychiatric services by collaborating with an interdisciplinary team to enhance patient care and innovate access within a thriving academic department for diverse populati...
4 weeks ago
Safety Stabilization Crisis Worker
$73K - $114K *
Join a team that's dedicated to maintaining safety and security in a juvenile services environment. Utilize crisis intervention and de-escalation techniques to support youth, develop safety plans, and...
6 days ago
Licensed Professional Counselor (LPC)
$80K - $129K *
Make your mark at a rewarding role providing therapy to adults and seniors. Enjoy flexible scheduling, manage your own caseload, and collaborate with an integrated care team in skilled nursing and reh...
6 days ago
$80K - $95K *
Lead the Admissions Department by driving strategic initiatives, enhancing operational efficiency, and fostering collaboration to ensure exceptional patient intake and quality management in a renowned...
2 days ago
Licensed Behavioral Health Consultant
$78K - $81K *
Join a dynamic team to provide integrated behavioral health services, enhancing patient outcomes and operational efficiency through collaboration, assessment, and tailored interventions in a supportiv...
Yesterday
Psychiatric Mental Health Nurse Practitioner
$167K - $218K *
Transform mental health care by providing compassionate, trauma-informed support to individuals facing serious mental illness and substance use disorders. Collaborate with a multidisciplinary team to...
1 week ago
$80K - $95K *
Shape the future of addiction treatment by leading clinic operations, managing a diverse team, and ensuring compliance with regulations while driving performance and patient success in a supportive en...
2 days ago
Co-Response Program Supervisor - Taunton, MA
$85K - $90K *
Champion community mental health by providing clinical oversight and support to crisis intervention teams. Foster collaboration with law enforcement and enhance behavioral health responses through eff...
2 weeks ago
$124K - $145K *
Engage in transformative patient care by diagnosing and treating acute and chronic illnesses. Collaborate with a dedicated healthcare team to enhance patient outcomes and support mental health initiat...
6 days ago
LCSW or LPC - Program Coordinator - 3.7 SUD - Inpatient Adolescent Psychiatry - 4 x 10 hr shifts
$70K - $105K *
Join our specialized Inpatient Adolescent Psychiatry unit as a Program Coordinator, driving operational excellence in Substance Use Disorder programming. Play a crucial role in curriculum development...
Reposted 2 days ago
$70K - $91K *
Transform the lives of individuals with substance use disorders by delivering tailored therapy, leading engaging treatment groups, and fostering collaborative care. Utilize your expertise to enhance r...
Reposted 2 weeks ago
Inpatient Behavioral Health Clinician - LMHC
$83K - $107K *
Transform patient care by providing comprehensive assessments and tailored aftercare plans. Collaborate with interdisciplinary teams to ensure effective treatment and support for individuals in an inp...
2 weeks ago
Inpatient Behavioral Health Clinician - LMHC
$83K - $107K *
Join an interdisciplinary team to provide comprehensive assessments and aftercare planning for patients in an inpatient behavioral health unit, ensuring effective communication and collaboration for o...
2 weeks ago
$89K - $104K *
Empower clients by overseeing clinical programming and staff development. Collaborate with a dedicated team to implement evidence-based practices, ensuring compliance with regulatory standards while e...
1 week 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.