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.
$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...
Yesterday
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...
Yesterday
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...
Yesterday
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...
Yesterday
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...
Yesterday
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
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Unlock your potential by providing impactful psychotherapy and evaluations. Enjoy flexible scheduling, a supportive environment, and the chance to focus on patient care without the burden of nights or...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Unlock potential by providing tailored psychotherapy and evaluations for adult and geriatric patients in skilled nursing and rehab settings, while enjoying flexible scheduling and a supportive work en...
2 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Empower older adults by providing high-quality clinical services, conducting assessments, and implementing tailored treatment plans in a collaborative environment focused on enhancing mental health an...
4 days ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$90K - $110K *
Empower your career by providing impactful psychotherapy and evaluations. Enjoy flexible scheduling, a supportive environment, and the chance to focus on patient care in skilled nursing and rehab sett...
1 week ago
Medical Director - Psychiatric Outpatient Clinic
$160K - $200K *
Transform psychiatric care delivery by leading outpatient services, providing strategic oversight, ensuring regulatory compliance, and fostering team collaboration to deliver exceptional patient outco...
4 weeks ago
Administrator LCSW LPCC LMFT - Community Mental Health 122
$118K - $147K *
Drive operational success by overseeing behavioral health program management, ensuring compliance, quality assurance, and strong community partnerships while cultivating a thriving workplace culture f...
Reposted 3 weeks ago
Family Support Professional, AAG
$71K - $95K *
Transform the lives of families affected by substance use disorders through education, support, and outreach. Collaborate with clinical teams and community partners to enhance service delivery and dev...
Today
Behavioral Health Clinical Therapist
$70K - $105K *
Champion patient care by providing assessment, treatment, and education in a dynamic behavioral health setting. Collaborate with a multidisciplinary team to ensure effective discharge planning and res...
1 week ago
Behavioral Health Clinical Therapist
$70K - $105K *
Shape the future of behavioral health by providing expert triage, assessment, and treatment to patients and families. Collaborate with care teams to ensure effective discharge planning and education...
1 week ago
Licensed Clinical Psychologist (Ph.D. or Psy.D.)
$85K - $100K *
Transform patient care by providing psychotherapy and evaluations in a flexible, supportive environment. Enjoy a reliable caseload with no nights or weekends while customizing treatment plans for adul...
2 days ago
$85K - $100K *
Elevate your career by leading a dedicated nursing team, ensuring high-quality patient care and operational excellence while fostering staff development and collaboration in a dynamic healthcare envir...
Today
$97K - $119K *
Transform early childhood mental health services by leading clinical supervision for interns. Drive project management, ensure compliance, and champion equity in education systems while mentoring futu...
1 week ago
$72K - $87K *
Advance patient care by facilitating smooth admissions processes, conducting assessments, and collaborating with medical teams to ensure timely and appropriate treatment for individuals in need...
2 days ago
$125K *
Join a team that's dedicated to providing exceptional patient care through assessment, diagnosis, and treatment. Utilize your skills as a Nurse Practitioner to support recovery and ensure compliance w...
3 days ago
Nurse Practitioner or PA -Addiction Medicine
$130K *
Unlock your potential by providing comprehensive care for patients with substance use and mental health disorders. Collaborate with a dedicated team to deliver quality, patient-centered treatment in a...
1 week 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.