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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$85K - $110K *

Transform lives by delivering comprehensive mental health care through effective assessments, tailored treatment plans, and collaborative interventions that engage patients and families in their thera...

Reposted 4 weeks ago

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

$109K - $132K *

Join us to provide critical psychiatric assessments and crisis interventions for clients in a correctional setting. Collaborate with a multidisciplinary team to develop and implement effective treatme...

6 days ago

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

$85K - $110K *

Help us provide sound clinical interventions through assessments, therapy, and collaboration with clinical staff. Your expertise will support patient-centered treatment plans while adhering to ethical...

3 weeks ago

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

$70K - $122K *

Lead the charge in supervising high-risk adult clients in pretrial and probation services, utilizing specialized counseling skills to ensure compliance and rehabilitation through education, conflict r...

1 week ago

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

$85K - $100K *

Shape the future of pediatric behavioral health by providing assessments, interventions, and care coordination for children and families, ensuring culturally responsive and evidence-based practices to...

2 weeks ago

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

$85K - $110K *

Discover the opportunity to provide comprehensive clinical interventions, collaborate with multidisciplinary teams, and develop tailored treatment plans for patients and families in mental health sett...

Reposted 4 weeks ago

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

$80K - $95K *

Lead and optimize business office operations, ensuring efficient billing, collections, and compliance. Collaborate with leadership to enhance financial performance and patient satisfaction in a dynami...

Today

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

$115K - $120K *

Empower clients through telehealth counseling, focusing on personalized treatment plans and ongoing support. Join a dedicated team to enhance mental health outcomes and foster coping strategies in a f...

New Britain, CTRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Provide expert telehealth counseling to clients facing emotional and behavioral challenges. Manage individual sessions, maintain clinical records, and ensure compliance with ethical standards while de...

5 days ago

  •   Less than 5 years exp.  •   Healthcare

$65K - $100K *

Shape the future of financial management by analyzing and forecasting fiscal activities. Collaborate with senior analysts to enhance budgeting practices and ensure compliance, directly impacting resou...

2 weeks ago

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

$82K - $95K *

Unlock your potential by leading clinical teams dedicated to supporting children and families. In this role, you'll mentor staff, ensure high-quality services, and drive program success while fosterin...

Today

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

$82K - $95K *

Empower clinical excellence by leading and mentoring WISe teams, ensuring high-quality, family-centered services. Collaborate with diverse professionals to enhance practices and support the growth of...

Today

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

$82K - $95K *

Lead clinical supervision and development for WISe teams, fostering a supportive environment while ensuring high-quality, family-centered services. Collaborate with program leadership to enhance pract...

Today

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

$82K - $95K *

Transform the lives of children and families by leading clinical teams, mentoring staff, and ensuring high-quality services. Collaborate with stakeholders to enhance program success and foster a suppo...

Today

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

$82K - $95K *

Develop and lead clinical teams to enhance service delivery for children and families. Mentor staff, ensure program fidelity, and foster a supportive environment while driving quality improvements and...

Today

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

$82K - $95K *

Transform the future of mental health care by leading and mentoring clinical teams, ensuring high-quality, family-centered services, and fostering a collaborative environment that supports the growth...

Today

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

$210K - $250K *

Lead clinical operations at a youth psychiatric facility, ensuring compliance and quality care standards while providing direct psychiatric services. Foster a trauma-informed culture and oversee a mul...

3 weeks ago

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

$83K - $87K *

Empower your nursing career by providing essential care and support to clients in a mental health setting. Collaborate with a dedicated team to enhance patient recovery and well-being while supervisin...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$180K - $220K *

Join a team that's dedicated to transforming lives through comprehensive addiction care. As a key provider, you'll deliver integrated medical and behavioral health services, ensuring patients receive...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$84K - $107K *

Unlock potential as a Licensed Mental Health Therapist, providing essential care to children and adolescents. Enjoy flexible scheduling, competitive compensation, and a supportive team environment whi...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Join a dynamic team to deliver high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment. Collaborate with colleagues to enhance your professional growth a...

Providence, RIRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Drive excellence in behavioral healthcare by delivering high-quality therapy services. Embrace flexible work arrangements while contributing to a supportive team environment focused on professional gr...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Empower your career by delivering high-quality behavioral healthcare. Join a supportive team that values work-life balance and professional growth while making a meaningful impact on patients' lives...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Deliver high-quality behavioral healthcare while fostering professional growth and work-life balance. Collaborate with a dedicated team to provide flexible, patient-centered services in a supportive e...

Greenville, RIRemote

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$72K - $115K *

Join our team of dedicated therapists committed to delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment. Grow your career with us and make...

1 week 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.