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.
$85K - $106K *
Lead the charge in enhancing mental health services for foster youth. Oversee clinical teams, ensure compliance with Medi-Cal standards, and foster professional development while providing direct supp...
1 week ago
CDOC Social Work/Counselor IV - Mental Health Supervisor (DENVER)
$87K - $122K *
Transform mental health services by leading a dedicated team, ensuring compliance, and enhancing treatment for offenders with mental health needs. Drive program effectiveness through collaboration, tr...
1 week ago
$66K - $101K *
Engage with injured workers as a Medical Case Manager, facilitating recovery through collaboration with healthcare providers and families. This role involves local travel, assessment, and implementati...
1 week ago
Milieu Coordinator - Bilingual English/Spanish
$78K - $92K *
Pioneer a welcoming environment for clients by fostering relationships and providing essential resources. Collaborate with staff to enhance community health and safety, addressing substance use and ho...
2 days ago
$90K - $110K *
Unlock potential by leading operational efficiency and strategic financial planning. Collaborate with executives to drive organizational growth, compliance, and quality improvement while enhancing res...
4 weeks ago
$76K - $86K *
Lead the charge in clinical supervision and program management, ensuring quality care and compliance. Collaborate with teams to enhance service delivery and support staff in meeting the clinical needs...
Today
Pharmacist(Clinical Specialist) - Ambulatory Care Mental Health
$110K - $130K *
Join a team that's dedicated to advancing mental health care through independent clinical pharmacy practice. You'll manage medication therapy, collaborate with healthcare providers, and deliver patien...
Today
Child and Adolescent Licensed Mental Health Therapist (LCSW LMFT LPC LMSW) (copy)
$90K - $114K *
Champion high-quality behavioral healthcare by delivering exceptional patient care. Join a supportive team that values work-life balance and professional growth while enjoying flexible schedules and c...
3 weeks ago
Licensed Mental Health Counselor / Therapist (LCSW LMHC LMFT) - Spanish fluency
$65K - $100K *
Shape your career with us as a licensed therapist, delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive environment. Join our team to make a meaningful impa...
6 days ago
$98K - $102K *
Innovate transformative ABA services for children with autism, leading clinical excellence and mentorship. Drive program development and collaboration with educators and families to enhance individual...
1 week ago
Childhood Behavioral Health Clinician (LMSW)
$75K - $90K *
Innovate pediatric behavioral health care by providing assessments, interventions, and support for children and families. Collaborate with a multidisciplinary team to enhance health outcomes through c...
2 weeks ago
Case Management Supervisor- Children
$89K - $132K *
Transform the lives of children with developmental disabilities by leading a dedicated team in case management. Oversee service delivery, staff development, and community collaboration to ensure effec...
Yesterday
$67K - $110K *
Shape the future of mental health care by providing compassionate therapy and support to patients with eating disorders, while collaborating with a dedicated treatment team to ensure effective care an...
2 weeks ago
Social Worker - Oncology Counselor
$82K - $119K *
Join a team that's dedicated to enhancing oncology patient care through expert coordination, psychosocial assessments, and collaborative practices, ensuring a patient-centered approach across the heal...
1 week ago
$80K - $104K *
Empower students by providing essential social-emotional and mental health support. Collaborate with families and educators to develop interventions, conduct assessments, and lead initiatives that fos...
1 week ago
$81K - $119K *
Join a team that's dedicated to providing comprehensive mental health services. As a licensed clinician, you'll assess, diagnose, and treat diverse clients, ensuring their needs are met through indivi...
Today
$78K - $115K *
Elevate your career by providing essential mental health counseling services. As a licensed clinician, you'll assess, diagnose, and treat diverse clients, collaborating with healthcare professionals t...
1 week ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Deliver impactful virtual therapy by providing personalized care, fostering client growth, and maintaining high clinical standards. Collaborate with a supportive team while working flexibly from home...
4 weeks ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Champion quality mental health care by providing virtual therapy sessions and personalized treatment plans to clients across California while collaborating with a supportive clinical team...
4 weeks ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Reimagine mental health care by providing virtual therapy services across California. Engage with diverse clients, develop tailored treatment plans, and thrive in a fully remote role that encourages p...
4 weeks ago
Remote Licensed Professional Clinical Counselor (LPCC)
$140K - $160K *
Provide remote mental health care by conducting therapy sessions, developing treatment plans, and monitoring clients’ progress. Join a supportive team dedicated to enhancing the well-being of individu...
4 weeks ago
Clinical Supervisor - Temporary
$101K - $115K *
Transform your career by leading a dedicated team to enhance service quality and operational excellence in a dynamic clinical environment. Collaborate with professionals to ensure responsive care for...
6 days ago
ACCS Assistant Program Director
$80K - $90K *
Lead the delivery of transformative mental health services, overseeing multi-site operations with a focus on compliance, staff supervision, and high-quality care for adults facing challenges in mental...
4 weeks ago
$121K - $155K *
Empower individuals by providing evidence-based mental health support to patients aged 13+. Collaborate with a dedicated clinical team in a fully remote environment, enhancing patient care and profess...
Today
$66K - $142K *
Elevate mental health support by providing evidence-based care to clients aged 13+. Collaborate with a dedicated team to enhance patient well-being while enjoying autonomy in practice and opportunitie...
Today
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.