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.
$125K - $135K *
Drive excellence in nursing leadership by overseeing operations and ensuring high-quality, patient-centered care in a dynamic substance use disorder treatment environment. Collaborate with a multidisc...
3 days ago
$103K *
Help us redefine mental health care as a Psychiatric Registered Nurse, delivering essential community-based services to individuals facing serious mental illness and co-occurring issues. Join a dynami...
1 month ago
$103K *
Lead the charge in delivering comprehensive community-based care to individuals with serious mental illness, providing medication management, health assessments, and psychoeducation in support of reco...
1 month ago
Clinical Addiction Psychologist
$85K - $100K *
Lead the provision of mental health care for adults, focusing on outpatient therapy and psychological assessments. Collaborate within an integrated system to enhance patient outcomes and support compr...
4 weeks ago
Licensed Mental Health Counselor (LMHC)
$80K - $100K *
Join a team that's dedicated to providing essential mental health services in various nursing facilities. Enjoy clinical autonomy, flexible schedules, and excellent compensation while making a meaning...
3 weeks ago
Vice President of Health Information Systems
$125K - $150K *
Contribute to strategic health information management by overseeing EHR administration, compliance, and technology infrastructure. Lead a team of directors while advising executives on data governance...
Today
Clinic Director: Adolescent Mental Health | Launch AWA North Carolina
$100K *
Advance your career by leading a new adolescent mental health clinic. Oversee team building, clinical supervision, and quality treatment while fostering partnerships and ensuring compliance in a suppo...
5 days ago
$90K *
Drive strategic leadership for behavioral health crisis services, ensuring compliance, enhancement of care delivery, and partnership development while overseeing program operations and fostering a cul...
4 weeks ago
$150K - $180K *
Lead transformative change as a CEO in a residential treatment facility, driving operational excellence, team performance, and regulatory compliance while enhancing patient care and organizational gro...
2 weeks ago
Psychiatric Mental Health Nurse Practitioner
$165K - $170K *
Collaborate with a multi-disciplinary team to deliver high-quality mental health services. Lead comprehensive assessments and medication management for individuals with serious mental illness and co-o...
3 weeks ago
Regional Addictions Specialist, Vancouver Island
$91K - $123K *
Develop community-driven substance use strategies and wellness plans, collaborating with First Nations to enhance culturally safe care and support healthier communities across British Columbia...
Yesterday
Associate Mental Health Counselor (LMHCA or LMFTA)
$108K - $118K *
Unlock potential by delivering high-quality outpatient therapy under supervision, maintaining a consistent caseload, and collaborating with a supportive clinical team to provide excellent mental welln...
6 days ago
Licensed Mental Health Counselor (LCSW LMHC LMFT)
$65K - $100K *
Contribute to high-quality behavioral healthcare by delivering exceptional therapy services. Enjoy flexible schedules and a supportive environment while advancing your professional growth and achievin...
2 days ago
Licensed Mental Health Counselor (LCSW LMHC LMFT)
$65K - $100K *
Unlock potential by joining a dedicated team of licensed therapists committed to delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment...
2 days ago
$88K - $88K *
Empower individuals on their recovery journey by providing compassionate nursing care. Collaborate with a multidisciplinary team to manage detox protocols and support clients through essential health...
4 weeks ago
$115K - $120K *
Architect clinical operations ensuring effective programming, staff management, and compliance. Oversee client care, implement evidence-based practices, and lead a multi-disciplinary team to enhance t...
1 month ago
Director of Clinical Services - Behavioral Health - LCSW/LPC
$100K - $120K *
Shape the future of mental health services by leading clinical strategies and ensuring high-quality patient care. Collaborate with a dedicated team to enhance treatment programs and achieve institutio...
1 week ago
Licensed Mental Health Counselor (LMHC) - Hybrid, 32hrs/wk Full-time
$73K - $88K *
Empower individuals as a mental health counselor, providing essential support through psychotherapy and treatment planning. Collaborate with care teams to enhance patient outcomes in a rewarding, pati...
2 weeks ago
Director, Legal and Regulatory Compliance
$110K - $130K *
Drive compliance excellence by leading enterprise-wide programs, ensuring adherence to legal standards, and protecting privacy rights. Collaborate with cross-functional teams to foster a culture of et...
1 week ago
$80K *
Engage with students by providing essential wellness counseling services, fostering collaboration with faculty, and developing programs that enhance academic and personal success while addressing equi...
1 week ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Contribute to impactful mental health care by providing psychotherapy and evaluations to diverse populations. Enjoy flexible scheduling and a supportive environment that prioritizes patient care witho...
Reposted 1 week ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Join a dedicated team to provide high-quality clinical services, enhancing the mental health and quality of life for older adults in long-term care and rehabilitation settings through assessment, ther...
2 weeks ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Transform mental health care by providing comprehensive assessments, developing treatment plans, and delivering therapy to older adults. Collaborate with a multidisciplinary team to enhance patient ou...
2 weeks ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Grow your career with a dedicated team focused on enhancing patient well-being through comprehensive assessments, individualized treatment plans, and evidence-based therapies in a supportive environme...
2 weeks ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$100K - $120K *
Optimize patient care by conducting assessments, developing treatment plans, and providing psychotherapy. Collaborate with multidisciplinary teams to enhance the quality of life for older adults in lo...
2 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.