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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$74K - $108K *

Champion optimal clinical care by managing payer relationships and providing utilization review support. Collaborate with multidisciplinary teams to enhance patient experiences and ensure effective tr...

2 weeks ago

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

$74K - $108K *

Reimagine patient care by advocating for optimal insurance reimbursement and fostering relationships with payers. Collaborate with multidisciplinary teams to enhance clinical services and support clie...

2 weeks ago

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

$74K - $108K *

Join a team that's dedicated to enhancing patient care through effective managed care strategies. You'll collaborate with insurance providers and clinical teams to ensure optimal service delivery and...

2 weeks ago

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

$76K - $104K *

Shape the future of mental health care by providing comprehensive assessments and therapy. Collaborate with multidisciplinary teams to support individuals with diverse needs, ensuring effective treatm...

3 weeks ago

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

$124K - $145K *

Help us redefine patient care by effectively managing medication distribution and collaborating with healthcare professionals to ensure optimal outcomes within an outpatient pharmacy setting...

Thunder Bay, ONIn-Person

4 weeks ago

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

$99K - $110K *

Join a team that's committed to providing impactful psychological assessments and care. You'll leverage your expertise to develop treatment plans while collaborating with multidisciplinary professiona...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $105K *

Champion transformative therapy by providing individual and group sessions for clients with eating disorders. Collaborate with a dedicated clinical team to develop personalized treatment plans and fos...

South Carolina, USRemote

2 weeks ago

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

$134K - $165K *

Oversee the clinical and financial success of a mental health program, leading a dedicated team to enhance patient care and operational efficiency. Collaborate with stakeholders to ensure quality serv...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $96K *

Empower individuals by providing evidence-based therapy in a supportive, hybrid model. Collaborate with a dedicated team to foster client well-being and thrive in a positive work culture designed for...

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$124K *

Empower nursing excellence by developing training programs and ensuring compliance with healthcare regulations. Collaborate with clinical teams to enhance participant care and maintain high standards...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Champion compliance excellence by overseeing licensing and regulatory standards, ensuring all programs meet federal, state, and local laws. Collaborate with teams to provide training and maintain audi...

Today

  •   Less than 5 years exp.  •   Healthcare

$99K - $112K *

Drive the delivery of high-quality nursing services, ensuring compliance with regulations while leading a dedicated team. Collaborate with interdisciplinary teams to meet patient needs and enhance ope...

2 weeks ago

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

$80K - $95K *

Join a team that's dedicated to optimizing business office operations, overseeing financial counseling, billing, and collections. Lead initiatives to enhance cash flow and ensure compliance while mana...

1 week ago

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

$115K - $120K *

Champion mental health by providing telehealth counseling to clients. Leverage your expertise to address diverse mental health needs, ensuring quality care through effective communication and document...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Reimagine mental health support by providing individual counseling via telehealth. Engage with clients facing various challenges, ensuring comprehensive care through effective communication and docume...

Pinehurst, NCRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Empower individuals by delivering remote mental health services in a structured, outcome-focused environment. Collaborate with care teams to ensure quality and compliance while providing effective the...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Transform mental health care by delivering remote therapy services in a structured, outcome-focused environment. Collaborate with care teams to provide effective treatment and maintain high clinical s...

North Carolina, USRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Champion mental wellness by providing telehealth counseling to clients facing emotional challenges. Leverage your expertise to guide individuals through their journeys, ensuring quality care and suppo...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$170K *

Empower individuals in crisis by providing comprehensive psychiatric assessment and treatment in a supportive environment. Collaborate with multidisciplinary teams to deliver quality care and enhance...

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$75K - $88K *

Drive therapeutic interventions within a collaborative team. You'll provide individual and group therapy, assess client needs, and engage in crisis support, enhancing clinical skills in a structured t...

3 weeks ago

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

$75K - $88K *

Join a dynamic team where you'll provide transformative therapy to adolescents through individual, family, and group sessions, enhancing your clinical expertise in a structured, collaborative resident...

3 weeks ago

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

$91K - $137K *

Lead the strategic vision for integrated behavioral health in athletics, overseeing clinical services and well-being initiatives. Collaborate with multidisciplinary teams to enhance student-athletes...

1 week ago

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

$91K - $137K *

Pioneer a holistic approach to psychological care in Intercollegiate Athletics, leading a multidisciplinary team to enhance student-athletes' mental health through clinical services, well-being progra...

1 week ago

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

$80K - $90K *

Transform the lives of students by providing therapeutic services that foster emotional and academic growth. Collaborate with school staff and families to create supportive environments that promote s...

3 days ago

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

$135K *

Transform the future of nursing by leading quality care initiatives, ensuring compliance, and enhancing staff education. Drive strategic marketing efforts and foster relationships with referral source...

1 week ago

  •   Less than 5 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.