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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$135K - $165K *

Lead and inspire a team of mental health professionals to enhance client care, drive program development, and ensure compliance, while fostering a collaborative environment focused on quality and perf...

Reposted 3 weeks ago

  •   5 - 7 years exp.  •   Real Estate & Construction

$61K - $114K *

Engage in the development and implementation of a comprehensive school counseling program, promoting academic, social-emotional, and career readiness for all students while ensuring equity and access...

1 week ago

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

$61K - $114K *

Elevate student success by leading a comprehensive school counseling program. Collaborate with educators and stakeholders to support academic, social-emotional, and career development for all students...

1 week ago

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

$113K - $139K *

Champion transformative practices in behavioral health services, managing clinical operations across children and adult programs. Lead staff, develop policies, and improve community health engagement...

Reposted 3 weeks ago

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

$127K - $157K *

Shape the future of mental health care by leading a dedicated team in delivering exceptional clinical and operational outcomes. Drive success through effective management of patient care and business...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $92K *

Pioneer innovative mental health solutions as an Access Clinician II, providing assessments and crisis intervention. Collaborate with clients to enhance recovery and ensure compliance with professiona...

3 days ago

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

$76K - $87K *

Deliver comprehensive therapeutic services, including individual, family, and group therapy, while collaborating with multidisciplinary teams to enhance patient care and treatment outcomes in a suppor...

2 weeks ago

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

$68K - $93K *

Empower your career by providing outpatient mental health therapy in a supportive environment. Collaborate with a dedicated team to enhance patient care while pursuing your LICSW licensure with superv...

Today

  •   Less than 5 years exp.  •   Healthcare

$83K - $89K *

Join a team that's dedicated to enhancing community health through effective management of outpatient clinical programs. Utilize your expertise to lead a diverse team, ensure compliance, and drive imp...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Unlock potential by overseeing behavioral medicine operations, ensuring high-quality clinical care. Collaborate with multidisciplinary teams to enhance patient outcomes and manage resources effectivel...

4 weeks ago

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

$88K - $105K *

Partner with us to serve as a legal advisor in data privacy law and policy. Engage in drafting, negotiation, and legal reviews for DOR’s IT procurement and data exchange agreements, while ensuring com...

1 month ago

  •   Less than 5 years exp.  •   Food & Beverages

$83K - $120K *

Shape the future of behavioral health by providing specialized occupational therapy services. Collaborate with a multidisciplinary team to develop and implement therapeutic interventions tailored to p...

3 weeks ago

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

$83K - $120K *

Elevate patient care by providing specialized occupational therapy in a dynamic behavioral health setting. Collaborate with a multidisciplinary team to develop and implement therapeutic interventions...

3 weeks ago

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

$83K - $120K *

Empower patients through innovative occupational therapy in a dynamic behavioral health setting. Collaborate with a multidisciplinary team to enhance therapeutic interventions and develop tailored pro...

3 weeks ago

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

$82K - $107K *

Supervise clinical and administrative functions for Support Coordinators, fostering culturally competent, person-centered service delivery for individuals with developmental disabilities while ensurin...

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$210K - $250K *

Join a team that's transforming addiction treatment by providing expert clinical leadership across multiple locations while impacting patient care in our comprehensive behavioral health program with r...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$80K *

Join a team that's dedicated to patient care, conducting psychosocial assessments and treatment plans for patients and families, while collaborating with healthcare professionals in a multidisciplinar...

Reposted 2 weeks ago

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

$86K - $108K *

Champion sustainable recovery in a dynamic outpatient treatment program. Lead a dedicated team, ensuring compliance, quality care, and efficient operations while fostering a collaborative environment...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$103K *

Join a team that's dedicated to providing community-based mental health treatment. As a Registered Nurse, you'll deliver medication management and health services, ensuring recovery and wellness for i...

1 week ago

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

$99K - $115K *

Transform clinical outcomes and team performance as a strategic leader, overseeing operations, enhancing quality, and mentoring a dedicated staff of clinicians to drive excellence in service delivery...

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$99K - $115K *

Champion high-quality clinical services by leading teams, enhancing performance, and driving operational success in a supportive environment committed to excellence and growth within the behavioral he...

3 weeks ago

  •   5 - 7 years exp.  •   Business Services

$80K - $85K *

Elevate school-based mental health initiatives by leading grant management, ensuring compliance, and fostering partnerships. Oversee program implementation, staff supervision, and strategic planning t...

Today

  •   Less than 5 years exp.  •   Healthcare

$95K - $105K *

Join a team that's dedicated to enhancing patient care through effective management and collaboration. Lead nursing staff, develop policies, and ensure quality standards while supporting clients and t...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Lead the charge in enhancing quality improvement initiatives, ensuring compliance and operational excellence across behavioral health services. Collaborate with leadership to foster a culture of accou...

Yesterday

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

$90K - $100K *

Lead the charge in enhancing mental health services at our outpatient clinic. Oversee clinical operations, ensure effective treatment delivery, and support staff to fulfill the agency's mission of emp...

3 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.