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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$81K - $101K *

Champion nursing excellence by overseeing operations and staffing, ensuring quality behavioral health care. Collaborate with teams to meet diverse patient needs while maintaining compliance and safety...

3 days ago

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

$128K - $135K *

Shape the future of student mental health by leading a dynamic counseling center, ensuring integrated care delivery, and fostering partnerships that promote student wellbeing and academic success with...

2 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$80K - $95K *

Empower clinical operations by providing support and supervision during evening, night, and weekend shifts. Ensure continuity of care, address potential issues, and investigate incidents to enhance pa...

Today

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

$104K - $114K *

Engage families in transformative therapy, addressing severe behavioral issues in adolescents. Collaborate with caregivers and systems to implement effective interventions in natural environments, ens...

1 week ago

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

$145K - $162K *

Support patients on their recovery journey by providing compassionate care as a Nurse Practitioner or Physician Assistant. Collaborate with a dedicated team to develop treatment plans and manage medic...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$145K - $162K *

Provide compassionate, patient-centered addiction care to improve recovery outcomes through assessment, treatment planning, and medication management for patients with substance use disorders in a ful...

1 month ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Lead the admissions process, ensuring compliance and quality care while supervising the Assessment and Referral team. Collaborate with leadership to enhance customer service and participate in busines...

2 weeks ago

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

$85K - $100K *

Take ownership of the admissions process, ensuring compliance and quality care. Lead the Assessment and Referral team, assess patient needs, and collaborate with leadership to enhance service delivery...

2 weeks ago

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

$80K - $115K *

Lead a dynamic team of licensed therapists, providing exceptional patient care and clinical excellence in a supportive environment with flexible scheduling and modern facilities...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $105K *

Explore a rewarding legal career by serving as a Hearing Officer, managing complex regulatory proceedings in energy and utilities, while contributing to a sustainable future for Massachusetts through...

2 weeks ago

  •   Less than 5 years exp.  •   Food & Beverages

$86K - $116K *

Champion client-centered care by assessing and supporting individuals with mental health and substance use challenges, collaborating with a multidisciplinary team to enhance treatment outcomes and com...

Vancouver, BCIn-Person

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$93K *

Join a team that's dedicated to providing comprehensive mental health care. You'll deliver individual, group, and family therapy while collaborating with psychiatric staff to ensure effective treatmen...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $110K *

Transform lives by providing comprehensive mental health services to youth and families. Collaborate within a supportive team to deliver assessments and therapeutic interventions, ensuring a holistic...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Shape the future of operational excellence by driving performance improvements through data-driven initiatives, collaborating with leadership to enhance efficiency, growth, and care delivery across mu...

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Optimize operational performance through data-driven initiatives, collaborating with leadership to enhance efficiency, growth, and execution excellence across multiple centers. Drive accountability an...

Today

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Elevate operational performance by driving data-driven initiatives that enhance efficiency, growth, and execution excellence. Collaborate with leadership to implement strategies that improve care deli...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion operational excellence by driving performance improvements through data-driven strategies. Collaborate with leadership to enhance efficiency, growth, and care delivery across multiple centers...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Reimagine operational excellence by driving performance improvements through data-driven initiatives. Collaborate with leadership to enhance efficiency, growth, and execution across healthcare operati...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive operational excellence by leading data-driven initiatives that enhance performance, efficiency, and growth. Collaborate with leadership to identify issues, implement strategies, and ensure susta...

Today

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Drive operational excellence by enhancing performance through data-driven strategies, collaborating with leadership to identify improvements, and implementing sustainable solutions that boost efficien...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Drive operational excellence by leading data-driven initiatives that enhance performance, efficiency, and growth. Collaborate with leadership to identify issues, implement strategies, and ensure susta...

Today

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Lead operational excellence initiatives to enhance performance, efficiency, and growth. Collaborate with leadership to analyze data, implement strategies, and drive accountability across healthcare op...

Today

  •   Less than 5 years exp.  •   Healthcare

$88K - $105K *

Lead the charge in driving operational excellence through data-driven initiatives, enhancing performance across healthcare operations. Collaborate with leadership to implement strategies that boost ef...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Champion operational excellence by driving performance improvements through data-driven strategies, collaborating with leadership to enhance efficiency, growth, and care delivery across multiple cente...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Deliver operational excellence by driving performance improvements through data-driven strategies, collaborating with leadership to enhance efficiency, growth, and care delivery across multiple center...

Today

  •   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.