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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$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

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$104K - $145K *

Deliver structured therapeutic interventions in clients' homes while empowering caregivers to enhance communication and understand their children's behavioral needs...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$82K - $108K *

Champion operational excellence by leading program management within the Child and Family Division, ensuring quality service delivery, compliance, and strategic growth while fostering community relati...

Today

  •   5 - 7 years exp.  •   Healthcare

$82K - $108K *

Elevate your career by leading impactful programs in the Child and Family Division. Drive operational excellence, ensure compliance, and foster community relationships while empowering teams to achiev...

Today

  •   5 - 7 years exp.  •   Healthcare

$82K - $108K *

Transform lives by leading a portfolio of programs in the Child and Family Division. Drive operational excellence, ensure compliance, and foster community relationships while empowering teams to achie...

Today

  •   5 - 7 years exp.  •   Healthcare

$82K - $108K *

Lead the charge in operational excellence for a portfolio of programs, ensuring quality service delivery, compliance, and strategic growth while fostering community relationships and empowering teams...

Today

  •   5 - 7 years exp.  •   Healthcare

$75K - $90K *

Inspire impactful community programs by overseeing comprehensive clinical services, guiding team excellence, and ensuring quality care for clients through strategic leadership and support of a multi-d...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $99K *

Empower individuals by delivering comprehensive mental health services from assessment to treatment, collaborating with clients and their supports to enhance well-being and recovery outcomes within a...

4 weeks ago

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

$70K - $99K *

Join a team that provides comprehensive mental health services, ensuring positive outcomes for clients through assessment, treatment, and collaboration. This role requires a commitment to serving dive...

4 weeks ago

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

$80K - $90K *

Manage educational programs and staff to foster a therapeutic, high-quality learning environment. Collaborate closely with the Principal to develop and implement effective curriculum while engaging wi...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$167K - $206K *

Drive the clinical and financial success of a leading program through effective leadership, operational management, and collaboration with various stakeholders to enhance patient care and community me...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$108K - $118K *

Join a team that's dedicated to leading recovery initiatives and advocacy. Drive strategic direction, oversee operations, and foster community relations while promoting hope and support for those affe...

4 days ago

  •   5 - 7 years exp.  •   Healthcare

$95K - $115K *

Join a dedicated team to provide comprehensive medical care and treatment plans for clients in a supportive environment. Collaborate with multidisciplinary professionals to ensure seamless coordinatio...

Today

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

$84K - $87K *

Empower veterans and their families by providing evidence-based therapy in a supportive clinic environment. Collaborate with a dedicated team to deliver impactful mental health services, ensuring mana...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Drive impactful behavioral health initiatives by leading statewide programs focused on promotion, prevention, and wellness. Collaborate with diverse stakeholders to enhance community capacity and achi...

Today

  •   5 - 7 years exp.  •   Food & Beverages

$80K - $95K *

Empower individuals by providing comprehensive psychological assessments and treatment plans. Collaborate with a multidisciplinary team to enhance patient care and contribute to operational excellence...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Transform patient care by delivering comprehensive psychological assessments and treatment plans. Collaborate with multidisciplinary teams to enhance mental health services, ensuring operational excel...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $104K *

Elevate patient care by coordinating seamless transitions across the continuum. Utilize a collaborative approach to assess, plan, and implement care strategies, ensuring optimal health outcomes and re...

3 weeks ago

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

$90K - $100K *

Shape the future of behavioral healthcare by delivering exceptional patient care. Collaborate with a dedicated team in a supportive environment, focusing on professional growth and work-life balance w...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

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.