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.
Addiction Nurse Manager - Brookside Residential Center
$157K - $181K *
Lead and manage clinical operations to enhance patient care delivery, ensuring compliance and driving quality improvements while fostering teamwork and collaboration among healthcare professionals...
Reposted 2 days ago
$80K - $95K *
Lead the intake process by conducting comprehensive biopsychosocial assessments, guiding clients to appropriate care levels, and collaborating with the clinical team to ensure seamless treatment trans...
Reposted today
$85K - $120K *
Drive the planning and implementation of outpatient program goals, ensuring quality care and compliance. Oversee staffing, resources, and budget management while fostering a collaborative environment...
1 week ago
Associate Chief Medical Officer for Integrated Care and FQHC Development
$180K - $220K *
Elevate primary care delivery by leading strategic initiatives, ensuring compliance, and enhancing operational efficiency. Collaborate with multidisciplinary teams to develop innovative care models an...
Yesterday
Licensed Professional Mental Health Counselor - Associate Chief of Staff, Behavioral Health
$80K - $95K *
Lead the charge in delivering comprehensive Behavioral Health care for veterans. Oversee multidisciplinary teams, manage clinical programs, and ensure quality services while fostering a supportive env...
3 days ago
Clinical Supervisor: Sign on bonus of $7,500!
$86K - $105K *
Innovate clinical oversight and program management, ensuring compliance with regulations while fostering staff development and delivering quality care to clients. Join a dedicated team committed to en...
6 days ago
Addiction Physician - Inpatient Detox
$350K *
Take ownership of medical services at a leading addiction treatment center, overseeing staff and ensuring compliance with healthcare standards while providing exceptional patient care and developing q...
1 week ago
$85K - $120K *
Elevate client care by managing outpatient operations, ensuring quality outcomes, and leading a dedicated team. Oversee program goals, staffing, and budget while maintaining compliance with regulatory...
6 days ago
$163K - $245K *
Champion clinical excellence by coordinating patient care and team processes, enhancing operational efficiency, and driving business development initiatives in a dynamic healthcare environment...
1 week ago
Clinical Supervisor (Massachusetts)
$90K - $110K *
Join a team that's dedicated to enhancing patient care by supervising clinical staff, ensuring compliance, and fostering a culture of excellence in palliative and hospice settings while driving qualit...
3 days ago
Child Welfare Consultant 12 - CSA
$72K - $104K *
Lead the enforcement of child welfare regulations, providing expert consultation and technical assistance to child caring institutions and agencies. Conduct investigations, assess applicant suitabilit...
3 days ago
$114K - $120K *
Join a team that's dedicated to providing compassionate mental health care. In this role, you'll conduct assessments, deliver therapy, and collaborate with a multidisciplinary team to support individu...
6 days ago
$114K - $120K *
Engage in transformative mental health care by providing clinical assessments, therapeutic interventions, and crisis support within a collaborative team, ensuring dignity and recovery for individuals...
6 days ago
Director of Admissions Acute $10K Bonus
$90K - $115K *
Play a key role in leading the Admissions Department, implementing strategic initiatives, managing operations, and enhancing collaboration to ensure quality mental health admissions for our patients i...
4 weeks ago
$72K - $93K *
Unlock potential by providing clinical services for individuals with behavioral health disorders. Collaborate with treatment teams to assess, diagnose, and implement effective therapeutic intervention...
2 weeks ago
$115K - $125K *
Lead healthcare services at a secure residential site, combining nursing expertise with operational management to ensure high-quality, compliant care while overseeing staff and improving service deliv...
3 weeks ago
Behavior Health Clinician I/II (Behavioral Health Therapist)
$75K - $117K *
Join our team to provide culturally sensitive mental health services, focusing on assessment, treatment, and case management for diverse populations. Collaborate with licensed supervisors and engage i...
Today
Board Certified Behavior Analyst
$87K - $93K *
Help us empower children through telehealth by providing expert ABA services. Collaborate with a supportive team to develop treatment plans and foster positive relationships, ensuring a nurturing envi...
1 week ago
Program Director / Team Leader (PACT Taunton)
$85K - $90K *
Unlock potential by leading a multidisciplinary team in delivering comprehensive treatment and support services for adults with severe mental illnesses, ensuring operational excellence and client-focu...
2 weeks ago
Psychiatric Mental Health Nurse Practitioner
$95K - $115K *
Elevate your career as a Psychiatric Mental Health Nurse Practitioner, providing comprehensive outpatient care. Collaborate with a dedicated team to deliver individualized treatment and make a meaning...
Today
Senior Grants Compliance Analyst
$75K - $90K *
Optimize grant compliance processes by ensuring accuracy, providing technical support, and maintaining documentation. Collaborate with stakeholders to enhance operational efficiency and support the ag...
Yesterday
Director of Access and Therapy Clinical Services
$100K - $120K *
Lead strategic and operational initiatives for Access and Therapy Services, enhancing client pathways and service delivery. Collaborate with clinical leadership to ensure quality care, compliance, and...
2 weeks ago
Licensed Mental Health Professionals (LCSW)(LMHC)(LMFT)(Psyd, Phd)
$80K - $160K *
Join a team that's dedicated to enhancing mental health services for older adults. As a Licensed Mental Health Professional, you'll assess, diagnose, and treat patients, collaborating with interdiscip...
3 days ago
$145K *
Transform the future of mental health care by providing remote psychiatric evaluations and medication management. Collaborate with clinical teams, ensure quality care, and participate in after-hours c...
Yesterday
Child & Adolescent Psychiatrist
$180K - $220K *
Join a dedicated team to provide expert psychiatric care to children and adolescents. This role involves delivering therapeutic services and collaborating with healthcare professionals to ensure patie...
3 weeks 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.