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.
Associate Director, Rehabilitation & Treatment
$92K *
Advance your career by leading strategic initiatives in behavioral health services, enhancing program quality, and managing a dedicated team to improve access and care for adults and families in a dyn...
1 week ago
PT CERTIFIED NURSE PRACTITIONER
$90K - $110K *
Shape the future of adolescent healthcare by providing essential medical services in a supportive residential setting. Collaborate with a dedicated team to ensure comprehensive care and improve patien...
2 days ago
$148K - $155K *
Lead comprehensive health service plans for clients, providing nursing care and acting as a liaison between medical providers and program staff to ensure optimal patient advocacy and support...
Today
$148K - $155K *
Transform healthcare delivery by providing comprehensive nursing services, designing health plans, and advocating for clients. Collaborate with medical providers to ensure quality care for vulnerable...
1 week ago
Case Manager - Healthcare for Homeless Network
$73K - $87K *
Empower individuals facing behavioral health challenges through outreach, case management, and care coordination. Build trust, develop personalized service plans, and collaborate with community resour...
2 weeks ago
$65K - $108K *
Champion mental health support for student-athletes by providing clinical care, crisis intervention, and tailored wellness initiatives, while collaborating with multidisciplinary teams to enhance athl...
1 week ago
$65K - $108K *
Empower student-athletes by providing comprehensive mental health services, including assessment, counseling, and crisis intervention, while collaborating with coaches and staff to foster a supportive...
1 week ago
Mental Health Clinician Supervisor
$93K *
Shape the future of mental health services by supervising clinicians, managing caseloads, and implementing trauma-informed practices. Collaborate with teams to enhance service delivery and support com...
3 weeks ago
Mental Health Clinician Supervisor
$93K *
Champion trauma-informed mental health practices while supervising clinicians and managing caseloads. Engage with community resources to enhance service delivery and foster a supportive environment fo...
3 weeks ago
$74K - $124K *
Transform case management processes by supporting legal workflows and enhancing SharePoint environments. Collaborate with stakeholders to ensure data accuracy and improve operational efficiency in a f...
Yesterday
Licensed Therapist, EAP Counselor (Hybrid)
$85K - $95K *
Lead the charge in providing on-site EAP counseling and management consultations, enhancing employee wellbeing through critical incident response, training, and support. Collaborate with HR and manage...
1 week ago
$80K - $125K *
Join a team that's dedicated to transforming lives through therapy. Conduct individual, group, and family sessions while collaborating with a multidisciplinary team to create and implement personalize...
1 week ago
$67K - $110K *
Unlock your potential by providing therapeutic support to individuals and families. Collaborate with a multidisciplinary team to develop and implement personalized treatment plans, facilitating group...
2 weeks ago
Child and Adolescent Licensed Therapist (LPC / LCSW / LMFT) @ Media, PA
$90K - $100K *
Engage in delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive environment. Collaborate with a dedicated team to enhance patient care and achieve profession...
2 weeks ago
Senior Clinician of Mobile Crisis - Sign on Bonus Eligible!
$79K - $91K *
Join a dynamic team dedicated to providing critical mobile crisis services. Leverage your expertise in behavioral health to support individuals in need, while collaborating with professionals to enhan...
3 weeks ago
$91K - $114K *
Play a key role in overseeing neurodiversity-affirming clinical programming, leading a team of behavior technicians to enhance the lives of children with developmental differences while enjoying flexi...
1 week ago
Director of Outpatient Services $7500 Sign On or Relo
$80K - $95K *
Champion the future of outpatient services by leading clinical operations and driving excellence in patient care. Oversee programs, enhance team performance, and ensure compliance while fostering grow...
2 days ago
Licensed Professional Counselor (Therapist)
$72K - $115K *
Empower individuals by delivering high-quality behavioral healthcare. Join a dynamic team of licensed therapists committed to clinical excellence, professional growth, and work-life balance across mul...
3 weeks ago
Crisis Clinician, Emergency Services
$68K - $95K *
Join a team that's dedicated to transforming crisis intervention for diverse populations. Engage in dynamic assessments, collaborate with community partners, and enhance your diagnostic skills in a fa...
1 week ago
Crisis Clinician, Emergency Services
$69K - $95K *
Elevate your career by joining our crisis team, providing vital support to diverse populations. Engage in dynamic assessments, collaborate with community partners, and enhance your skills in a fast-pa...
2 weeks ago
Crisis Clinician, Emergency Services
$68K - $95K *
Advance your career by joining a dynamic crisis team, providing essential behavioral health services across various settings. Collaborate with community partners while enhancing your diagnostic skills...
2 weeks ago
Licensed Clinician - Cohen Clinic - $10,000 Signing Bonus
$80K - $103K *
Collaborate with an interdisciplinary team to deliver exceptional behavioral healthcare services, using evidence-based practices for diverse populations, including veterans and families, ensuring coor...
Reposted 2 weeks ago
Outpatient Program Manager - 5846
$84K - $90K *
Empower clinical excellence by managing outpatient program activities, ensuring compliance, and fostering staff development through structured supervision and training. Lead initiatives that enhance s...
2 weeks ago
Child and Adolescent Licensed Therapist (LPC / LCSW / LMFT) @ Philadelphia, PA
$90K - $100K *
Join a dedicated team of therapists committed to delivering high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth while maki...
2 weeks ago
$104K - $145K *
Contribute to transformative behavioral therapy by delivering tailored interventions in clients' homes, enhancing communication and understanding for families. Join us in making a meaningful impact on...
2 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.