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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$80K - $115K *

Join a team that's dedicated to providing exceptional therapy services to diverse populations. Collaborate with a skilled clinical team to enhance mental health outcomes for adults and youth, ensuring...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $115K *

Drive your career with a dynamic clinical team as a Licensed Therapist, providing essential support to diverse populations. Leverage your expertise to make a meaningful impact while enjoying uncapped...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $115K *

Empower individuals on their journey to wellness by providing expert therapy. Collaborate with a dynamic clinical team to deliver impactful mental health services to diverse populations, ensuring a su...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$93K - $98K *

Unlock potential by overseeing clinical services and guiding a multi-disciplinary team. Ensure high-quality care and compliance with policies while fostering a supportive environment for staff and cli...

2 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$90K - $115K *

Transform patient care by joining our dedicated team of Licensed Therapists. You'll provide exceptional clinical support, engage with diverse populations, and enjoy a flexible work environment that pr...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $115K *

Engage in transformative mental health care as a Licensed Therapist, providing essential support to diverse populations. Collaborate within a dynamic team to deliver evidence-based treatment in a flex...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $90K *

Unlock your potential as a Behavioral Health Clinician, providing vital assessments and interventions for children and families. Collaborate with a dedicated team to enhance health outcomes through cu...

2 weeks ago

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

$145K - $211K *

Join a team that's dedicated to enhancing patient care through expert pharmaceutical services. Collaborate with healthcare professionals to ensure safe medication use and provide direct patient suppor...

2 days ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$73K - $97K *

Take ownership of crisis intervention services, delivering expert evaluations and mobile support 24/7. Collaborate with county agencies to ensure safety and effective care planning for individuals in...

3 weeks ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$95K *

Join a team that's dedicated to transforming the lives of youth through effective behavioral health supervision, ensuring the successful implementation of individualized treatment plans and fostering...

Today

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$118K - $135K *

Lead the delivery of high-quality behavioral healthcare, ensuring clinical excellence while fostering professional growth and work-life balance in a supportive environment...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$65K - $100K *

Champion high-quality behavioral healthcare by delivering exceptional patient care, fostering professional growth, and maintaining work-life balance in a supportive environment with flexible schedulin...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$77K - $116K *

Advance your career as a mental health counselor dedicated to promoting student success. Engage in counseling, crisis intervention, and workshops while supporting a diverse college community's mental...

1 month ago

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$91K - $113K *

Champion neurodiversity-affirming clinical programming, leading a team of behavior technicians to provide impactful ABA treatment for children with developmental differences while enjoying flexible sc...

Today

  •   Less than 5 years exp.  •   Information Technology

$77K - $93K *

Engage in transformative rehabilitation services for adults facing severe mental health challenges. Provide individualized and group activities, fostering recovery and independence while collaborating...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$118K - $135K *

Play a key role in delivering high-quality behavioral healthcare while ensuring work-life balance and professional growth. Join a supportive team dedicated to clinical excellence and patient care in a...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$118K - $135K *

Deliver high-quality behavioral healthcare while fostering professional growth and work-life balance. Join a supportive team dedicated to clinical excellence and patient care in a modern, well-equippe...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $97K *

Transform the landscape of mental healthcare by delivering high-quality, patient-centered therapy. Collaborate with a dedicated team to provide flexible, evidence-based treatment for diverse populatio...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Lead the charge in nursing operations, ensuring clinical excellence and regulatory compliance while fostering a culture of patient-centered care and team development in a dynamic treatment environment...

Yesterday

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

$74K - $90K *

Empower clients by delivering therapeutic services in a collaborative team environment. Engage in assessments, lead therapy groups, and support mental health wellness goals, fostering a culture of hop...

Houston, TXRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$74K - $90K *

Transform lives by providing therapeutic support in a collaborative team environment. Deliver individual and group therapy, conduct assessments, and advocate for clients to enhance mental health welln...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Unlock your potential by providing expert legal counsel in special education law, litigation, and employment matters. Collaborate with leadership to navigate complex legal challenges and support publi...

Today

  •   Less than 5 years exp.  •   Education, Government & Non-Profit

$137K - $154K *

Manage and oversee state policy initiatives to advance substance use prevention and treatment efforts while guiding teams, monitoring trends, and engaging with various stakeholders for impactful legis...

Reposted 5 days ago

  •   8 - 10 years exp.  •   Education, Government & Non-Profit

$80K - $95K *

Transform financial operations by analyzing data, preparing reports, and ensuring compliance. Collaborate with teams to manage cash flow, audits, and grants, while maintaining accurate records and sup...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Deliver accurate financial reporting and analysis by managing accounting functions, ensuring compliance, and supporting audits. Collaborate with teams to optimize cash flow and maintain financial inte...

2 weeks ago

  •   5 - 7 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.