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.
$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
$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
Director of Clinical Services-Behavioral Health
$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
$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...
4 weeks ago
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$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...
6 days ago
Licensed Mental Health Counselor (LMHC)
$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...
1 week ago
Licensed Mental Health Counselor (LMHC)
$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...
1 week ago
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$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...
1 week ago
Licensed Mental Health Counselor (LMHC)
$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
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Elevate patient care by delivering high-quality behavioral healthcare. Join a dynamic team of licensed therapists committed to clinical excellence, work-life balance, and professional growth in a supp...
1 week ago
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Engage in delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive environment. Play a key role in enhancing patient care and professional growth within a dynam...
1 week ago
Licensed Mental Health Counselor (LMHC)
$72K - $110K *
Empower your career by delivering high-quality behavioral healthcare in a supportive, hybrid environment. Join a team dedicated to clinical excellence and professional growth while enjoying a flexible...
2 weeks ago
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Champion high-quality behavioral healthcare by delivering exceptional patient care, fostering professional growth, and enjoying flexible work arrangements in a supportive environment focused on clinic...
2 weeks ago
Licensed Mental Health Counselor (LMHC)
$81K - $110K *
Engage in a rewarding role that enhances patient care through high-quality behavioral healthcare. Collaborate in a supportive environment with flexible schedules, focusing on professional growth and w...
2 weeks ago
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Join our team to deliver high-quality behavioral healthcare while enjoying flexible schedules and a supportive environment. Collaborate with dedicated professionals committed to clinical excellence an...
2 weeks ago
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Transform patient care by delivering high-quality behavioral healthcare. Join a dynamic team that values work-life balance and professional growth while providing flexible schedules and competitive co...
2 weeks ago
Licensed Mental Health Counselor (LMHC)
$83K - $110K *
Inspire your career with a role that emphasizes high-quality behavioral healthcare, work-life balance, and professional growth in a supportive, hybrid environment. Join a dedicated team committed to c...
2 weeks ago
Medical Director - Newton-Wellesley Substance Use Services
$240K - $300K *
Shape a vital substance use clinic, leading a multidisciplinary team in delivering comprehensive care. Engage with community partners to enhance services and foster collaborative solutions, making a t...
Reposted 1 week ago
Licensed Mental Health Counselor (LMHC)
$72K - $115K *
Unlock potential by delivering high-quality behavioral healthcare with flexible schedules and a supportive environment. Join a dedicated team focused on clinical excellence and professional growth whi...
1 week ago
Licensed Mental Health Counselor (LMHC)
$72K - $110K *
Shape the future of behavioral healthcare by delivering exceptional outpatient therapy. Engage with diverse populations in a supportive environment that promotes professional growth and work-life bala...
3 weeks 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.