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.
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 4 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 today
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...
2 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...
2 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...
3 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...
3 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...
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...
Today
$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
$112K - $132K *
Join a team dedicated to enhancing patient rehabilitation outcomes in post-acute care. Collaborate with a skilled, interdisciplinary team to promote patient independence and drive innovative care appr...
4 weeks ago
Child Mental Health Therapist - FFS
$75K - $85K *
Empower children through therapeutic interventions while collaborating closely with a dedicated team. Provide essential mental health services in a supportive environment, helping families overcome sy...
Reposted 5 days ago
Outpatient Physician Assistant
$85K - $100K *
Elevate your career by providing compassionate, evidence-based care to adults with substance use disorders. Use your expertise to develop therapeutic relationships and help patients recover through ef...
1 month ago
Outpatient Physician Assistant
$85K - $100K *
Empower adults on their recovery journey by delivering compassionate, evidence-based medical care for substance use disorders. Partner within an interdisciplinary team to implement best practices and...
1 month ago
Vice President of Revenue Cycle Management
$170K - $190K *
Lead the charge in transforming revenue cycle management through AI innovation, overseeing operations, and driving measurable performance improvements across facilities while collaborating with cross...
1 week ago
Behavioral Health Therapist (LCSW/LPCC)
$66K - $100K *
Drive impactful change by providing therapeutic support and assessments to individuals and families. Collaborate with community resources to enhance patient care and ensure effective treatment plans i...
3 weeks ago
Behavioral Health - Medication Nurse Case Manager
$86K - $121K *
Elevate your nursing career by providing high-quality, patient-centered care across diverse settings. Collaborate with interdisciplinary teams to enhance patient outcomes while ensuring compliance wit...
3 weeks ago
Clinician (LICSW/LMHC) Primary Care, Collaborative Care Program
$78K - $95K *
Engage with multidisciplinary teams to enhance behavioral health in primary care, facilitating patient assessments and delivering evidence-based treatments to address mental health and substance use c...
3 weeks ago
Licensed Mental Health Therapist (LPCC/LCSW/LMFT)
$90K - $100K *
Transform patient care by delivering high-quality behavioral healthcare. Join a supportive team that values work-life balance and professional growth while utilizing modern technology in a flexible en...
1 week 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.