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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$80K - $89K *

Empower your career by joining our remote team of Licensed Therapists, providing vital outpatient services through telehealth. Enjoy a flexible schedule, competitive salary, and comprehensive benefits...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$140K - $150K *

Empower a multidisciplinary team to enhance program effectiveness, ensuring operational and fiscal oversight while fostering quality services and compliance with standards in a supportive environment...

1 week ago

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

$80K - $89K *

Unlock potential by joining a dynamic team of Licensed Therapists providing remote outpatient services through telehealth. Enjoy flexible scheduling, competitive compensation, and a supportive environ...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $89K *

Empower individuals by providing remote outpatient therapy services through our telehealth program. Join a dynamic team dedicated to mental health, offering flexible schedules and comprehensive suppor...

Huntington Station, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $89K *

Unlock potential by joining a dynamic team of licensed therapists providing remote outpatient services through telehealth, ensuring patient care across diverse populations with flexible scheduling and...

New York, NYRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the Admissions Department by implementing strategic plans, enhancing collaboration, and ensuring quality management in intake processes. Your expertise will drive operational success and improve...

1 week ago

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

$80K - $95K *

Drive the Admissions Department by leading strategic initiatives, enhancing operational efficiency, and ensuring quality management in intake processes, ultimately improving patient care and departmen...

2 weeks ago

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

$80K - $95K *

Join a team that's dedicated to enhancing patient experiences by leading admissions operations, cultivating referral relationships, and implementing strategic initiatives to ensure timely access to ca...

2 weeks ago

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

$80K - $95K *

Transform the admissions process by leading a dedicated team, implementing strategic initiatives, and ensuring quality management in a renowned healthcare facility focused on exceptional mental health...

3 weeks ago

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

$80K - $95K *

Lead the Admissions Department, driving strategic initiatives and enhancing operational efficiency. Collaborate with teams to ensure quality management and compliance, making a significant impact on p...

3 weeks ago

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

$100K - $120K *

Lead the charge in enhancing outpatient services by driving clinical excellence and operational success. Oversee PHP and IOP programs, ensuring quality care and patient satisfaction while fostering te...

2 weeks ago

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

$85K - $100K *

Join a team that's dedicated to enhancing outpatient services by leading operations and driving clinical excellence in partial hospitalization and intensive outpatient programs, ensuring optimal patie...

2 weeks ago

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

$88K - $105K *

Lead clinical operations and enhance patient care by managing a dedicated team, implementing treatment protocols, and ensuring compliance with regulations while driving strategic goals and quality imp...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $120K *

Optimize patient care by assessing needs, developing nursing plans, and coordinating treatment. Collaborate with healthcare teams to ensure compliance with standards and provide compassionate support...

3 weeks ago

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

$87K - $102K *

Unlock potential by providing compassionate care and support to patients in a behavioral health setting. Collaborate with a multidisciplinary team to develop tailored care plans and ensure holistic tr...

2 weeks ago

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

$74K - $92K *

Empower individuals by providing compassionate nursing care in a dynamic behavioral health setting. Collaborate with a dedicated team to assess, plan, and implement effective treatment for patients fa...

6 days ago

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

$111K *

Transform the lives of individuals with serious mental illness by leading a mobile, multidisciplinary team. Drive clinical excellence and operational effectiveness within Assertive Community Treatment...

3 weeks ago

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

$111K *

Empower your career by leading clinical and operational excellence in integrated treatment for individuals with serious mental illness through multifaceted ACT teams, overseeing performance while ensu...

3 weeks ago

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

$114K - $156K *

Lead the charge in transforming lives as a Nurse Practitioner in an outpatient MAT program, conducting evaluations, developing treatment plans, and collaborating with a multidisciplinary team to optim...

2 weeks ago

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

$124K - $166K *

Transform lives as you lead advanced nursing care in an outpatient setting, conducting evaluations, developing treatment plans, and collaborating with a multidisciplinary team to optimize patient outc...

2 weeks ago

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

$80K - $90K *

Transform patient care by leading nursing services in a dynamic environment. Collaborate with leadership to foster a therapeutic atmosphere, ensuring quality treatment and recovery for residents while...

3 weeks ago

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

$75K - $90K *

Join a team that's dedicated to delivering exceptional addiction recovery and mental health services. As a Clinical Director, you'll oversee treatment programs, supervise staff, and ensure quality car...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $95K *

Lead the charge in ensuring thorough and compliant investigations across community programs. Collaborate with teams to enhance investigative practices and drive continuous improvement while maintainin...

Today

  •   Less than 5 years exp.  •   Healthcare

$95K - $110K *

Transform patient care by leading quality and accreditation initiatives. Oversee compliance, enhance safety standards, and drive continuous improvement across clinical operations. Collaborate with tea...

Today

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

$110K - $130K *

Transform your career by leading quality and accreditation initiatives to ensure exceptional patient care and safety. Drive compliance, oversee quality assurance programs, and foster continuous improv...

Today

  •   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.