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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$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

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

$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...

Massachusetts, USRemote

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

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

$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

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$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

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

$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

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

$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

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

$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

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   5 - 7 years exp.  •   Healthcare

$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

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   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.