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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$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

$80K - $95K *

Elevate clinical excellence by leading a dedicated team to implement evidence-based treatment programs, ensuring compliance and fostering a culture of innovation and accountability in patient-centered...

2 weeks ago

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

$85K - $100K *

Join a team that's dedicated to clinical excellence and patient-centered care. Lead the development and implementation of evidence-based treatment programs while ensuring compliance and fostering a cu...

2 weeks ago

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

$110K - $130K *

Oversee nursing operations across multiple facilities, ensuring compliance, quality assurance, and effective interdisciplinary collaboration. Lead initiatives in patient safety, staffing, and regulato...

1 week ago

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

$85K - $100K *

Champion the quality of patient care by overseeing clinical operations, compliance, and staff management. Collaborate with the Medical Director to promote effective treatment strategies in a dynamic h...

Reposted 1 week ago

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

$75K - $90K *

Join a team that's dedicated to transforming lives through compassionate therapy. Provide individual and group counseling, develop tailored treatment plans, and collaborate with a clinical team to ens...

1 week ago

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

$110K *

Join a team that's redefining psychological services in a specialized setting. Oversee and guide therapy programs, manage staff, and ensure compliance while enhancing treatment quality for diverse pat...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$149K - $197K *

Lead the charge in delivering high-quality patient care while managing operational success. Oversee clinical and financial performance, guide a dedicated team, and collaborate with stakeholders to enh...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$111K - $125K *

Empower youth mental health by leading clinical services in a supportive environment. Collaborate with staff and community partners to ensure effective treatment and supervision, fostering growth and...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $97K *

Empower patient care by delivering compassionate nursing services in a dynamic behavioral health setting. Collaborate with a multidisciplinary team to assess, plan, and implement effective treatment f...

1 week ago

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

$74K - $93K *

Elevate your nursing career by providing compassionate care and support to patients facing mental health challenges. Collaborate with a dedicated team to assess needs, implement care plans, and ensure...

1 week ago

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

$74K - $100K *

Join a dedicated team providing comprehensive psychosocial support to oncology patients and families. Collaborate across disciplines to ensure optimal care, addressing unique needs through assessments...

Yesterday

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

$125K - $154K *

Transform the future of mental health care by leading a dedicated team to ensure clinical excellence and operational success. Drive performance across key areas while collaborating with community part...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead clinical excellence at community-based programs, enhancing service quality and coordination. Drive program performance, support staff growth, and ensure effective delivery of behavioral health se...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$66K - $95K *

Engage in comprehensive assessments and investigations for LPS conservatorship, utilizing strong clinical skills to evaluate individuals' needs and recommend appropriate mental health services in comm...

2 days ago

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

$80K - $95K *

Oversee nursing operations and enhance patient care quality in a new facility. Collaborate with leadership to ensure compliance, manage resources, and support staff development while prioritizing pati...

2 weeks ago

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

$80K - $95K *

Shape the future of behavioral health services by assisting in the management and delivery of nursing operations. Collaborate with the team to enhance patient care, ensure compliance, and foster a pos...

2 weeks ago

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

$83K - $88K *

Transform mental health services by providing crisis response and empowering clients across multiple locations. Collaborate with families to enhance personal and vocational development while ensuring...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$66K - $142K *

Transform patient care by collaborating with members and providers to address complex health needs. Utilize clinical expertise to assess, plan, and coordinate care, ensuring optimal outcomes for dual...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$66K - $142K *

Optimize patient care by leading comprehensive case management for dual eligible populations, ensuring effective communication and collaboration with members, providers, and community organizations to...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$66K - $142K *

Join a team that's dedicated to enhancing patient care for dual eligible populations. Utilize your clinical expertise to assess, coordinate, and advocate for comprehensive health solutions, ensuring q...

1 week ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

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.