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.

Remote
caret down
Compensation
caret down
Position Level
caret down
Time Posted
caret down
Industries
caret down
Locations
caret down
More
1
caret down

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

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

$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

  •   5 - 7 years exp.  •   Hospitals & Medical Centers

$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

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

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.