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.
Medical Director (Addiction Medicine)
$200K - $250K *
Unlock potential by leading medical services in a dynamic treatment center. Oversee clinical staff, ensure regulatory compliance, and enhance patient care quality while driving strategic initiatives a...
1 month ago
Inpatient Clinical Director (LCSW, LMFT, LPCC) - Mental Health 105
$136K - $168K *
Empower a multidisciplinary team by providing clinical leadership and supervision. Collaborate with the Administrator on quality improvement initiatives while ensuring effective on-call support and co...
Today
Psychiatrist Outpatient-Board Certified
$216K - $270K *
Empower clients by providing comprehensive psychiatric evaluation and treatment in an outpatient setting. Collaborate with a multidisciplinary team to ensure effective medication management and holist...
1 week ago
$90K - $110K *
Drive impactful patient care by developing treatment plans and collaborating with multidisciplinary teams to ensure comprehensive medical support for clients in recovery. Enhance your skills in a supp...
Yesterday
$110K *
Shape the future of healthcare by providing expert pharmaceutical care, ensuring safe medication practices, and collaborating with medical staff to enhance patient outcomes in a dynamic pharmacy envir...
2 weeks ago
Mental Health and Substance Use Nurse (RN/RPN) - Access and Assessment Center (AAC)
$86K - $116K *
Play a key role in delivering comprehensive mental health and substance use nursing care, providing individualized treatment and rehabilitation for diverse clients while collaborating with healthcare...
4 weeks ago
$110K *
Join a dedicated team as you lead nursing operations, managing staff and enhancing patient care in a dynamic environment. Drive excellence through strategic planning, organizational leadership, and a...
Reposted 1 week ago
Clinical Social Worker Senior (LICSW/LMHC) - MGBfC Pediatric Primary Care
$86K - $126K *
Collaborate with a multidisciplinary team to provide clinical care coordination, assessments, and therapy for pediatric patients aged 4-21 facing behavioral health challenges, ensuring effective use o...
Today
Clinical Social Worker Senior (LICSW/LMHC) - MGBfC Pediatric Primary Care
$86K - $126K *
Empower pediatric patients by providing clinical assessments, therapy, and care coordination. Collaborate with a multidisciplinary team to address behavioral health needs for ages 4-21, ensuring effec...
Today
Therapist - Adult Outpatient (License not required)
$82K - $102K *
Advance your career by providing clinical recovery-focused services to clients with mental health and substance use issues. Collaborate with treatment teams to develop individualized plans and ensure...
Reposted 5 days ago
Program Administrator Substance Use & Prevention
$73K - $94K *
Lead the charge in developing evidence-based substance abuse programs, overseeing daily operations, ensuring compliance with regulations, and managing staff performance to enhance community care and s...
Reposted yesterday
Licensed Psychologist (NY HELPS), South Beach Psychiatric Center, P28199
$145K *
Lead the charge in providing psychological services to individuals with mental illness, conducting therapy, assessments, and group sessions while mentoring interns and collaborating with an interdisci...
1 week ago
$80K - $93K *
Champion crisis intervention and support for individuals in mental health emergencies. Provide assessments, safety planning, and community linkage as part of a dedicated 24/7 Mobile Crisis Response Te...
3 days ago
Program Director - Multi-site Afterschool Program Supervisor
$75K - $90K *
Take ownership of multiple afterschool programs, ensuring quality, compliance, and collaboration across sites. Lead and develop staff while fostering strong community partnerships to enhance youth dev...
3 days ago
$101K - $134K *
Lead the charge in delivering quality healthcare services while supervising nursing staff and enhancing program effectiveness. Collaborate with management to ensure optimal treatment conditions for re...
3 weeks ago
Chief Executive Officer - Lakeland Behavioral Health
$160K - $200K *
Lead the charge in transforming behavioral health care by driving operational excellence, fostering community partnerships, and inspiring a dedicated team to deliver exceptional patient outcomes and i...
1 week ago
$80K - $90K *
Transform healthcare delivery by overseeing incidental medical services, ensuring compliance, and training staff. Lead the charge in enhancing documentation practices and operational efficiency while...
2 days ago
Senior Mental Health Clinician
$80K - $95K *
Elevate mental health services by providing clinical supervision, therapy, and program development. Collaborate with multidisciplinary teams to enhance treatment plans and support children and familie...
3 days ago
$75K - $95K *
Transform healthcare compliance by leading regulatory initiatives, ensuring adherence to state and federal laws, and driving corrective actions. Collaborate with cross-functional teams to operationali...
4 days ago
$87K *
Shape the future of youth mental health by leading therapy programs, supervising staff, and ensuring quality care in a supportive environment. Drive impactful change while fostering professional growt...
4 days ago
Behavioral Health Specialist Fellow (MSW) (LSW)
$51K - $111K *
Empower your career through a transformative fellowship, gaining essential skills in behavioral health for older adults. Collaborate with a dedicated team in a value-based care model, enhancing commun...
Reposted today
$107K - $130K *
Join a team that's dedicated to enhancing patient independence through specialized PM&R services. Collaborate with interdisciplinary teams in skilled nursing facilities to optimize rehabilitative outc...
Yesterday
$105K - $135K *
Join a team that's dedicated to enhancing patient independence through specialized PM&R services. Collaborate with a multidisciplinary team to optimize rehabilitative outcomes in a supportive post-acu...
2 weeks ago
$85K - $102K *
Partner with us to enhance patient rehabilitation outcomes in a collaborative environment. This full-time role focuses on providing expert PM&R services in a skilled nursing facility, fostering autono...
4 weeks ago
$118K - $144K *
Innovate within the post-acute care environment by providing specialized PM&R services that enhance rehabilitative outcomes and patient independence while collaborating closely with multidisciplinary...
4 weeks ago
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.