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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$58K - $103K *

Join a dynamic team to deliver comprehensive behavioral health assessments and tailored treatment plans. Collaborate with healthcare professionals to provide effective therapeutic interventions and cr...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$58K - $103K *

Join a team that's dedicated to providing comprehensive behavioral health assessments and tailored treatment plans. Collaborate with healthcare professionals to deliver effective therapeutic intervent...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$58K - $103K *

Transform lives by conducting comprehensive assessments and developing tailored treatment plans. Collaborate with healthcare professionals to provide effective interventions and crisis support, ensuri...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $104K *

Lead transformative initiatives to empower youth and families, ensuring effective probation services align with community needs and juvenile justice principles. Collaborate with partners to foster reh...

1 week ago

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

$79K - $101K *

Champion quality management in mental health services, ensuring compliance and high standards in treatment delivery for emotionally disturbed clients. Collaborate with teams to enhance service quality...

2 weeks ago

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

$79K - $101K *

Help us enhance mental health services by providing clinical and administrative support, ensuring compliance with standards, and conducting audits to improve service delivery for emotionally disturbed...

2 weeks ago

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

$80K - $95K *

Lead the charge in enhancing substance abuse treatment by overseeing clinical staff, ensuring quality care, and implementing effective programs. Drive continuous improvement and foster a collaborative...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Lead the development and management of outpatient services, ensuring compliance and program effectiveness. Collaborate with clinical staff to enhance patient care and operational efficiency while driv...

1 week ago

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

$125K - $150K *

Transform nursing services by leading strategic initiatives, fostering clinical excellence, and enhancing employee engagement. Drive quality improvement and ensure regulatory compliance while mentorin...

1 week ago

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

$90K - $105K *

Manage and enhance the Intensive Outpatient Program, ensuring clinical excellence and operational efficiency while leading a multidisciplinary team to provide high-quality, patient-centered behavioral...

3 weeks ago

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

$90K - $105K *

Drive impactful change in our Intensive Outpatient Program by providing leadership, operational oversight, and strategic direction. Ensure quality behavioral health services delivery and foster collab...

3 weeks ago

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

$165K *

Join a team that's dedicated to providing comprehensive mental health care. As a Psychiatric Nurse Practitioner, you'll diagnose, treat, and collaborate with a multidisciplinary team to enhance patien...

2 weeks ago

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

$84K *

Empower individuals and families by providing expert behavioral health counseling. Collaborate within a multidisciplinary team to deliver effective mental health and substance use services, ensuring q...

2 days ago

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

$150K - $180K *

Shape the future of behavioral healthcare by providing strategic leadership and driving clinical excellence across nursing services. Collaborate with multidisciplinary teams, enhance patient outcomes...

4 weeks ago

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

$90K - $100K *

Lead and manage a youth residential treatment program, ensuring a safe, therapeutic environment while overseeing operations, staff development, and compliance with regulatory standards to achieve posi...

2 days ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $100K *

Join a dynamic team to lead a youth residential treatment program, ensuring a safe, therapeutic environment while managing operations, staff development, and compliance. Drive quality improvement init...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $104K *

Transform your career by providing essential behavioral health support, developing care plans, and collaborating with care teams to address member needs in a hybrid role that balances virtual and comm...

Massachusetts, USRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $104K *

Champion behavioral health support by triaging needs, providing interventions, and facilitating care transitions for members with serious mental illness or substance use disorders in a hybrid role...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $113K *

Oversee the management of Personal Financial Counselors, ensuring compliance and quality service delivery while supporting military service members and their families in financial readiness initiative...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$110K - $130K *

Transform the future of behavioral health by leading nursing operations, ensuring quality patient care, and fostering a collaborative environment. Drive strategic initiatives while managing resources...

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$115K *

Champion high-quality behavioral healthcare by delivering exceptional therapy services. Join a dynamic clinical team focused on patient care, professional growth, and work-life balance while enjoying...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K *

Advance your career by delivering high-quality behavioral healthcare. Join a dynamic clinical team focused on patient care, professional growth, and work-life balance, while enjoying competitive earni...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$76K - $93K *

The Bilingual Mental Health Clinician provides direct mental health services to children and families, focusing on those aged 6 to 21. Responsibilities include conducting assessments, developing treat...

Reposted today

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Lead the charge in shaping innovative therapeutic programs, ensuring operational excellence and regulatory compliance while fostering high-performing clinical teams to achieve exceptional patient outc...

1 week ago

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

$90K - $110K *

Transform therapeutic programs by leading, coordinating, and enhancing operations to ensure high-quality patient care and optimal outcomes. Collaborate with staff to implement effective strategies and...

2 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.