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.
Unlicensed Clinician - Mental Health 644
$71K - $88K *
Join a dedicated team to provide mental health support services, coordinating care for individuals and families. Engage with community partners to ensure comprehensive support in a trauma-informed env...
2 weeks ago
Addiction Nurse (RN/RPN), Intensive Case Management - Powell River, BC
$86K - $116K *
Join a dedicated team as an Addiction Nurse, providing essential care and support to clients in recovery. Collaborate with interdisciplinary professionals to enhance client-centered services and promo...
Yesterday
Clinical Director, Crisis Services (LCSW, LCPC, LMFT)
$75K - $90K *
Lead the development and management of community-based crisis services, guiding program managers and staff to deliver compassionate care during critical moments. Collaborate with leadership to enhance...
Today
Certified Community Behavioral Health Clinic (CCBHC) Project Director
$85K - $100K *
Transform community health by leading strategic initiatives for CCBHC certification and Rural Health Transformation. Collaborate with diverse stakeholders to enhance operational readiness, compliance...
1 week ago
Medical Director - Addiction Medicine
$210K - $250K *
Elevate patient care as a Medical Director, overseeing clinical practices and ensuring quality in medication-assisted treatment. Collaborate with a multidisciplinary team to foster recovery and uphold...
3 days ago
Business Development Executive
$175K - $195K *
Grow business opportunities by identifying and developing relationships within federal agencies. Collaborate with teams to support capture and proposal efforts, ensuring alignment with strategic objec...
2 weeks ago
Psychiatric Mental Health Nurse Practitioner (PMHNP) - Adolescent Residential Treatment
$145K - $166K *
Inspire change by providing compassionate psychiatric care to adolescents in a residential setting. Collaborate with a multidisciplinary team to deliver trauma-informed, evidence-based treatment and s...
2 weeks ago
School Adjustment Counselor- Elementary
$56K - $112K *
Shape the future of student support by providing essential counseling and therapeutic interventions. Collaborate with educators and families to foster a safe, inclusive environment, addressing emotion...
1 week ago
$70K - $95K *
Join a team that's dedicated to providing exceptional patient care through efficient admissions processes. As an Admissions Registered Nurse, you'll facilitate patient intake, collaborate with medical...
1 week ago
Licensed Clinical Psychologist
$100K - $160K *
Shape the future of mental health care by providing tailored psychotherapy and evaluations to adult and geriatric patients in skilled nursing and rehab settings, while enjoying flexible scheduling and...
1 week ago
Director of Clinical Services and Programming
$88K - $105K *
Join a team that's dedicated to transforming lives through clinical and vocational leadership. Oversee program operations, ensure regulatory compliance, and lead a passionate team in delivering high-q...
1 month ago
$93K - $98K *
Transform clinical case management by leading a multi-disciplinary team, ensuring high-quality care and compliance with policies. Collaborate to enhance service delivery for vulnerable populations, fo...
Today
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Join a team that's dedicated to providing high-quality behavioral healthcare. This role focuses on delivering exceptional patient care while enjoying flexible schedules and a supportive work environme...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Grow by joining our dedicated team of licensed therapists, providing high-quality behavioral healthcare. Experience a supportive environment with flexible schedules and opportunities for professional...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Join a team that's committed to delivering high-quality behavioral healthcare to diverse populations. Enjoy flexibility in your work schedule while contributing to a collegial environment that promote...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Unlock potential by delivering high-quality behavioral healthcare in a flexible environment. Join a collaborative team that values work-life balance and supports your professional growth through innov...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Champion exceptional behavioral health care by providing evidence-based treatments and support. Collaborate within a dynamic clinical team to enhance patient outcomes, ensuring work-life balance and p...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Redefine behavioral healthcare by joining a dedicated team of licensed therapists. Deliver high-quality care to diverse populations while enjoying flexibility in scheduling and a supportive work envir...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Join a team that's transforming behavioral healthcare by delivering exceptional mental health treatment. Bring your clinical expertise to a supportive environment that values work-life balance and pro...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Transform your career by joining a dedicated team of licensed therapists committed to delivering high-quality behavioral healthcare. Enjoy flexible schedules and a supportive environment that promotes...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Join a dynamic clinical team focused on delivering high-quality behavioral health care, enabling professional growth and work-life balance while serving diverse adult and youth populations in a suppor...
3 weeks ago
Licensed Clinical Mental Health Counselor (LCMHC)
$95K - $130K *
Join our team to deliver exceptional behavioral healthcare while enjoying flexible schedules and competitive compensation. Collaborate with dedicated professionals committed to patient care in a suppo...
3 weeks ago
Director of Operations - Mental Health Practice
$80K - $96K *
Pioneer operational excellence by leading diverse teams and optimizing processes. Drive client-centered care through effective management of intake, billing, and technology systems while supporting gr...
2 days ago
$110K - $130K *
Drive operational excellence across multiple outpatient treatment clinics, enhancing patient care and organizational growth. Lead diverse teams, influence treatment outcomes, and strengthen community...
6 days ago
$110K - $130K *
Lead operations and transform communities by overseeing multiple outpatient treatment clinics. Drive performance, enhance patient care, and build high-performing teams to expand access to life-saving...
6 days 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.