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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$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...

1 week 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

$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...

Rhode Island, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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...

Smithfield, RIRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   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.