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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$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

$90K - $110K *

Lead quality assurance initiatives, ensuring regulatory compliance and excellence in patient care. Oversee accreditation processes and engage in continuous improvement across clinical operations, fost...

4 weeks ago

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

$85K - $100K *

Empower exceptional patient care by leading quality and accreditation initiatives. Spearhead regulatory compliance and continuous improvement across clinical operations while fostering a culture of sa...

4 weeks ago

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

$80K - $91K *

Champion excellence in outpatient mental health services by leading clinical, operational, and administrative initiatives across diverse programs, ensuring compliance, quality, and sustainable outcome...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$100K - $120K *

Lead transformative behavioral health initiatives, overseeing program performance, compliance, and staff management. Collaborate with key partners to enhance client outcomes and ensure quality assuran...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Inspire behavioral health excellence by overseeing program performance, coordinating activities, and fostering partnerships. Lead a dedicated team to enhance client outcomes and ensure compliance whil...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$73K - $91K *

Pioneer a transformative clinical environment, ensuring quality patient care and compliance with regulatory standards. Oversee daily operations and foster staff development within a collaborative addi...

3 weeks ago

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

$135K *

Join a team that's dedicated to providing exceptional crisis care. Lead nursing operations in a dynamic environment, ensuring quality, compliance, and compassionate support for adults facing acute beh...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $93K *

Make your mark at a dynamic mental health service provider, delivering essential therapy and case management to youth and families. Collaborate with a dedicated team to foster recovery and well-being...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Unlock your potential by leading clinical services in a supportive environment. Collaborate with a dedicated team to enhance client care and operational efficiency while fostering professional growth...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $85K *

Lead the delivery of addiction recovery and mental health services, overseeing treatment programs and staff supervision, while ensuring compliance with policies and exceptional care for clients and fa...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $145K *

Lead transformative nursing services as a Chief Nursing Officer, driving clinical excellence, mentoring leaders, and enhancing patient-centered care in a dynamic behavioral health environment...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$100K - $120K *

Elevate clinical standards as a leader in child and adolescent behavioral health. Oversee program development, ensure quality patient care, and guide multidisciplinary teams in delivering trauma-infor...

1 week ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$90K - $110K *

Lead the clinical services at a premier behavioral health facility, driving strategic planning and program development to enhance community care and meet performance goals in a supportive environment...

2 days ago

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$100K - $120K *

Transform recovery support by leveraging telemedicine to drive engagement and success for members, while collaborating with a dedicated team to provide compassionate care throughout the early treatmen...

West Virginia, USRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $110K *

Elevate patient care by delivering high-quality behavioral healthcare in a supportive, hybrid environment. Join a team committed to clinical excellence and professional growth while enjoying a flexibl...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Join a team that's dedicated to delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment. Elevate your career with competitive compensation and...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Pioneer high-quality behavioral healthcare by delivering exceptional patient care. Take ownership of your professional growth in a supportive environment that values work-life balance and offers flexi...

East Greenwich, RIRemote

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $110K *

Collaborate with a dedicated team to deliver high-quality behavioral healthcare, ensuring patient-centered care while enjoying a flexible work-life balance and opportunities for professional growth in...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Advance your career by delivering high-quality behavioral healthcare. Join a supportive team focused on clinical excellence, work-life balance, and professional growth in a flexible environment with c...

Greenville, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Transform patient care by joining our dedicated team of licensed therapists. Deliver high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment focused on p...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $110K *

Champion patient care by delivering high-quality behavioral healthcare in a flexible, hybrid environment. Join a supportive team dedicated to clinical excellence and professional growth while maintain...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Contribute to high-quality behavioral healthcare by delivering exceptional patient care, fostering professional growth, and enjoying a flexible work environment that promotes work-life balance and cli...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Advance your career by delivering high-quality behavioral healthcare. Join a supportive team that values work-life balance and professional growth while providing flexible schedules and competitive co...

Lincoln, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $110K *

Engage in delivering high-quality behavioral healthcare while enjoying a flexible hybrid work environment. Collaborate with a supportive team to enhance patient care and achieve professional growth in...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

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.