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.
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...
3 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 *
Transform lives as a Licensed Clinical Psychologist, providing vital therapy and assessments in rehabilitation settings. Collaborate with healthcare teams to create impactful treatment plans for diver...
Reposted today
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
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Empower older adults by providing expert clinical services, assessing and treating mental health conditions. Collaborate with a multidisciplinary team to deliver comprehensive care and enhance patient...
2 weeks ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Empower patients by delivering expert psychological care and therapy, focusing on individualized treatment plans and collaboration with healthcare teams to enhance mental health outcomes. Drive qualit...
3 weeks ago
Physician Advisor (Psychiatrist)
$180K - $220K *
Champion high-quality mental health care by overseeing medical necessity determinations, conducting peer reviews, and collaborating with clinical providers to enhance service delivery for behavioral h...
2 weeks ago
$80K - $95K *
Join a team that's dedicated to enhancing outpatient services through effective management, clinical oversight, and innovative programming. Lead a multidisciplinary team to ensure quality care and imp...
2 weeks ago
Clinical Director for Residential Facility
$80K - $95K *
Manage and oversee clinical services, ensuring quality and compliance. Collaborate with leadership on program development and staff training while providing clinical supervision. Drive operational exc...
Reposted 2 weeks ago
Licensed Mental Health Counselor (LCSW LMHC LMFT) - Outpatient - Spanish fluency
$65K - $100K *
Join a dedicated team of licensed therapists committed to delivering high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth w...
6 days ago
Licensed Professional Clinical Counselor (LPCC)
$85K - $97K *
Champion high-quality behavioral healthcare by delivering exceptional clinical services to diverse populations, ensuring a supportive environment that fosters professional growth and work-life balance...
1 week ago
Clinical Supervisor Snell Farm Residential
$67K - $95K *
Inspire positive change by leading clinical services for youth and families. Collaborate with a multidisciplinary team to assess needs, implement treatment plans, and provide supervision and training...
6 days ago
Clinician, San Mateo Community Mental Health FSP(ACSW/AMFT/APCC)
$104K *
Transform your career by delivering high-quality therapeutic interventions and case management for individuals in need. Collaborate with a multidisciplinary team to support wellness and recovery in a...
6 days ago
Licensed Professional Clinical Counselor (LPCC)
$115K - $120K *
Join a team that's dedicated to providing impactful telehealth counseling. In this remote role, you'll leverage your clinical expertise to support clients through virtual sessions, ensuring comprehens...
Yesterday
Licensed Professional Clinical Counselor (LPCC)
$115K - $120K *
Transform client lives by delivering virtual counseling services, managing treatment plans, and maintaining a consistent caseload. Enjoy a stable schedule while making a meaningful impact in a support...
4 days ago
Licensed Professional Clinical Counselor (LPCC)
$115K - $120K *
Join a team that's leveraging technology to enhance mental health access through telehealth. Provide comprehensive assessments and tailored treatment plans while collaborating with professionals to su...
4 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.