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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$83K - $93K *

Make your mark at a dynamic team providing in-home behavioral support to children and families. Utilize ABA practices to assess, develop, and implement strategies that foster positive change and skill...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$155K - $185K *

Transform nursing leadership by guiding a dedicated team in delivering exceptional patient care and fostering a culture of excellence in addiction recovery services...

Today

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

$210K - $250K *

Deliver exceptional psychiatric care to adolescent inpatients through comprehensive evaluations, individualized treatment planning, and crisis intervention within a collaborative interdisciplinary tea...

1 month ago

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

$90K - $110K *

Empower patient-centered healthcare delivery by collaborating with a multidisciplinary team, evaluating clients, and educating families to enhance community health and informed decision-making in dive...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$87K - $92K *

Champion integrated care by delivering compassionate nursing support in a collaborative environment. Engage with clients and multidisciplinary teams to enhance health outcomes and promote recovery-ori...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $101K *

Explore opportunities to enhance employee well-being as you provide counseling and support services within a dynamic health system. Collaborate across disciplines to address complex workplace issues a...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $96K *

Elevate quality standards by monitoring care and compliance, ensuring effective QA processes and staff development in a health-focused environment. Collaborate with teams to enhance patient care and u...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$82K - $113K *

Unlock potential by joining a dedicated clinical team of Licensed Therapists. Enjoy flexible schedules, full administrative support, and a strong work/life balance while making a meaningful impact on...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $105K *

Engage with a dynamic team of Licensed Therapists, providing exceptional patient care and clinical excellence. Enjoy flexible schedules, full administrative support, and a strong work/life balance whi...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $105K *

Elevate patient care by joining a dynamic team of licensed therapists dedicated to clinical excellence and flexible work environments, ensuring a strong work/life balance and full administrative suppo...

Washington, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $105K *

Transform patient care as a Licensed Therapist in Maryland, providing essential support to diverse populations. Enjoy flexible schedules, full administrative backing, and a collaborative environment f...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $105K *

Deliver exceptional patient care as a Licensed Therapist, utilizing your expertise to support diverse populations. Enjoy flexible schedules and a collaborative environment while contributing to clinic...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Join a team that's committed to delivering high-quality behavioral healthcare with a focus on clinical excellence. Enjoy flexible schedules while making a meaningful impact on patients' lives in both...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Innovate in the mental health field by delivering high-quality behavioral healthcare. Manage flexible work schedules and maximize your earnings while supporting adult and adolescent populations with e...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Elevate your career by joining a dynamic clinical team dedicated to providing high-quality behavioral healthcare. Enjoy flexible schedules, strong support, and opportunities for professional growth in...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Shape the future of mental health services by leading a dedicated team, ensuring compliance, and enhancing program effectiveness for individuals with psychiatric disabilities. Drive quality improvemen...

Today

  •   5 - 7 years exp.  •   Healthcare

$72K - $120K *

Join our dynamic clinical team as a Licensed Therapist, providing exceptional care to diverse populations. Enjoy flexible schedules, full administrative support, and a strong work/life balance while m...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$88K - $92K *

Lead the management of clinical services for substance addiction programs, overseeing staff and operations to ensure compliance, deliver quality care, and maintain strong community relationships. Driv...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Champion the delivery of comprehensive medical services in a dynamic treatment environment, ensuring quality care and compliance while collaborating with multidisciplinary teams to enhance patient out...

Today

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

$100K - $120K *

Empower individuals facing addiction by providing comprehensive evaluation, treatment, and support. Collaborate with a dynamic team to enhance patient care in a leading outpatient setting focused on o...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $91K *

Champion comprehensive mental health care by delivering evidence-based therapy, fostering strong patient relationships, and collaborating with interdisciplinary teams to enhance treatment outcomes and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $150K *

Unlock potential by conducting independent clinical reviews for voluntary minors, ensuring compliance with psychiatric care standards. This role requires expertise in child and adolescent psychiatry...

1 week ago

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

$75K - $95K *

Lead strategic alumni services initiatives to enhance engagement, support, and outcomes. Oversee program KPIs, coordinate events, and ensure effective communication with alumni, fostering a strong com...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $140K *

Help us drive positive change by providing specialized mental health services and assessments for individuals with complex needs. Join a multidisciplinary team to enhance intervention strategies and i...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $220K *

Transform crisis care by leading psychiatric services at a cutting-edge facility, overseeing treatment, mentoring staff, and fostering patient engagement within a multidisciplinary team dedicated to i...

Reposted yesterday

  •   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.