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.
Director, Crisis Support Services
$80K - $85K *
Elevate community mental health support by overseeing 24/7 crisis interventions. Lead, train, and collaborate with our passionate team to ensure effective behavioral health services for those in need...
Reposted 3 weeks ago
Psychiatric Nurse Practitioner
$145K - $166K *
Champion high-quality psychiatric care by evaluating and treating patients, while promoting collaboration with healthcare teams. Engage with patients in shared decision-making, ensuring effective trea...
4 weeks ago
$100K - $120K *
Engage in holistic client care as a Nurse Practitioner, conducting assessments, developing treatment plans, and collaborating with a multidisciplinary team to support individuals in recovery from subs...
3 weeks ago
Director of Behavioral Health - 0419 - HQ
$138K - $203K *
Transform behavioral health services within the corrections system, leading the design and implementation of comprehensive care strategies while ensuring compliance with legal and ethical standards ac...
Reposted 1 week ago
Behavioral Health Facility Administrator
$79K - $99K *
Elevate care standards by overseeing operations at a 24/7 Enhanced Services Facility. Ensure compliance, quality assurance, and staff training while fostering a supportive environment for residents wi...
2 days ago
$80K - $98K *
Transform your career with a structured outpatient role focused on adult therapy. Enjoy predictable weekday hours, interdisciplinary collaboration, and comprehensive institutional support in a mission...
3 days ago
Psychiatrist, Child and Adolescent
$225K - $300K *
Engage in transformative mental health care for children and adolescents by providing comprehensive evaluation, developing tailored treatment plans, and ensuring collaborative support through outpatie...
4 weeks ago
Deputy Director of Behavioral Health
$112K - $144K *
Manage and oversee comprehensive behavioral health programs, ensuring effective service delivery and compliance with regulations. Lead a multidisciplinary team, develop policies, and represent the dep...
1 week ago
Mental Health Clinician 3 (PCN 20-8148)
$87K - $96K *
Lead the charge in mental health services management within correctional facilities, ensuring compliance and continuous improvement while providing oversight and training to staff. Collaborate in a dy...
Reposted 2 weeks ago
Licensed Clinical Professional Counselor (LCPC) (LGPC)
$72K - $120K *
Unlock potential by joining a dynamic clinical team of Licensed Therapists, providing exceptional patient care with flexible schedules and full administrative support in a collaborative environment...
2 weeks ago
Registered Nurse (RN) - Outpatient Behavioral Health - Recovery
$71K - $96K *
Transform patient care by applying your RN expertise to assess, plan, and implement quality health solutions. Collaborate with healthcare professionals to ensure patients receive optimal support durin...
Reposted 1 week ago
Clinician - BOARD CERTIFIED BEHAVIORAL ANALYST
$95K - $100K *
Elevate clinical services by managing Positive Behavior Support for individuals with developmental disabilities, ensuring effective collaboration across divisions and enhancing community resources for...
Today
Behavioral Health Provider (ASW/LCSW or AMFT/LMFT) - Napa
$88K - $137K *
Elevate your career by providing integrated behavioral health services, including assessments and interventions, in a dynamic setting. Collaborate with medical teams to enhance patient care and ensure...
2 weeks ago
Clinical Director of the Counseling Center #000542
$78K - $84K *
Champion mental health initiatives by leading counseling services, supervising staff, and providing crisis intervention. Engage with the university community through outreach and consultation, ensurin...
1 week ago
Behavioral Health Clinician - Adult Outpatient
$71K - $97K *
Partner with us to enhance patient care as a Behavioral Health Clinician, providing comprehensive evaluations, treatment planning, and collaboration within a multidisciplinary team to support individu...
1 week ago
$129K - $133K *
Transform patient care by evaluating and diagnosing opioid use disorder, prescribing treatments, and coordinating comprehensive care within a dedicated medical team. Collaborate to enhance community h...
1 week ago
Licensed Clinical Professional Counselor(LCPC)
$72K - $120K *
Join a team that's dedicated to clinical excellence, providing compassionate care as a Licensed Therapist. Enjoy flexible schedules, full support, and a strong work/life balance while making a meaning...
2 weeks ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Advance your career by providing psychotherapy and evaluations for adults and geriatrics in a supportive, flexible environment. Enjoy a reliable caseload with no on-call duties while focusing on patie...
Today
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Transform patient care by providing psychotherapy and evaluations in skilled nursing settings. Enjoy flexible scheduling and a supportive environment while focusing on adult and geriatric patients wit...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Optimize patient care by providing psychotherapy and evaluations in skilled nursing settings. Enjoy flexible scheduling, a supportive environment, and the opportunity to focus on meaningful clinical w...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Champion high-quality clinical services for older adults, providing assessments, treatment, and therapy in long-term care settings. Collaborate with multidisciplinary teams to enhance patient outcomes...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$95K - $115K *
Elevate patient care by providing expert clinical services to older adults, focusing on assessment, diagnosis, and tailored treatment plans in a collaborative environment that enhances mental health o...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Empower patients by providing psychotherapy and evaluations in skilled nursing settings. Enjoy flexible scheduling, a supportive environment, and focus on patient care without the burden of paperwork...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Reimagine patient care by providing psychotherapy and evaluations in flexible settings. Enjoy a supportive environment with customizable schedules, focusing on adult and geriatric patients while minim...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Unlock your potential by providing psychotherapy and evaluations for adult and geriatric patients. Enjoy flexible scheduling, a supportive environment, and focus on patient care without the burden of...
2 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.