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.
Chief Nursing Officer (CNO) - 10K Sign-On Bonus
$145K - $210K *
Drive clinical excellence and operational performance as a key executive leader. Oversee nursing strategy, mentor teams, ensure compliance, and lead quality improvement initiatives in a dynamic behavi...
2 weeks ago
Program Supervisor II (Clinical) - LCSW Preferred
$79K - $118K *
Contribute to the growth of our clinical team by providing essential oversight and support, ensuring adherence to ethical standards, and fostering professional development in a dynamic, hybrid work en...
3 weeks ago
Licensed Clinical Therapist (LPC/LISW-CP/LMFT)
$75K - $87K *
Champion patient care by joining a dedicated team of licensed therapists. Enjoy a flexible hybrid schedule, competitive earnings, and a supportive environment focused on clinical excellence and work/l...
6 days ago
Licensed Clinical Therapist (LPC/LISW-CP/LMFT)
$75K - $87K *
Transform patient care by delivering exceptional therapy services. Collaborate with a dedicated team to provide evidence-based treatment for diverse populations, ensuring clinical excellence and a sup...
1 week ago
Licensed Clinical Therapist (LPC/LISW-CP/LMFT)
$75K - $87K *
Empower your career as a licensed therapist, providing exceptional patient care in a supportive environment. Enjoy competitive earnings, flexible schedules, and a collaborative team dedicated to clini...
2 weeks ago
Licensed Clinical Therapist (LPC/LISW-CP/LMFT)
$75K - $87K *
Unlock your potential as a licensed therapist, providing exceptional patient care in a supportive, collaborative environment. Enjoy flexible schedules, competitive earnings, and a focus on work/life b...
2 weeks ago
Licensed Clinical Therapist (LPC/LISW-CP/LMFT)
$75K - $87K *
Join our dedicated clinical team to provide exceptional therapy services. Collaborate in a supportive environment, offering flexible schedules and competitive compensation while making a meaningful im...
3 weeks ago
Behavioral Health Counselor 3 (4459C), University Health Services - #88959
$125K - $138K *
Transform your career by providing essential behavioral health support to a diverse campus community. Collaborate with a dedicated team to assess, intervene, and navigate complex mental health needs i...
3 weeks ago
Mental Health Clinician (LCSW or LPC)
$70K - $92K *
Transform the lives of youth by providing essential counseling and support. Collaborate with a dedicated team to ensure effective treatment planning and quality assurance, while fostering family invol...
2 days ago
Crisis Outreach Clinical Shift Supervisor - Swing Shift, MRRCT - $5K SIGNING BONUS
$94K - $107K *
Manage and lead a team of crisis outreach professionals to ensure prompt, effective, and coordinated field responses. Provide real-time supervision, support training, and facilitate compliance with po...
Reposted 2 weeks ago
Psychiatric Nurse Practitioner
$158K - $201K *
Deliver comprehensive psychiatric care by evaluating patients, prescribing treatments, and collaborating with healthcare professionals to ensure quality medical services and compliance with regulation...
Yesterday
Crisis Outreach Clinical Shift Supervisor - Swing Shift, MRRCT - $5K SIGNING BONUS
$94K - $107K *
Advance your career by leading a dedicated team in crisis outreach, ensuring effective operational oversight and real-time support while responding to community mental health needs with compassion and...
Reposted 2 weeks ago
$82K - $120K *
Optimize fiscal strategies as a key analyst, guiding budget management and compliance for the Commerce & Compliance Division. Collaborate with teams to ensure effective financial operations and suppor...
2 weeks ago
Program Coordinator, Clinical Psychology
$74K - $111K *
Advance your career by managing clinical psychology internships, ensuring compliance with APA standards, and guiding students through their professional transition while maintaining a small clinical c...
2 days ago
Certified Peer Crisis Outreach Specialist - Swing Shift, MRRCT
$81K - $89K *
Lead the charge in providing crisis intervention and support to individuals facing mental health or substance use challenges, ensuring timely outreach and effective service connections in diverse comm...
2 weeks ago
$110K - $115K *
Join a dedicated team overseeing clinical programs for adolescents facing severe mental health challenges. Lead staff, enhance service quality, and ensure compliance with accreditation standards in a...
Yesterday
Licensed Clinical Social Worker - Outpatient (LCSW, LCMHC, LMFT)
$70K - $110K *
Shape the future of mental healthcare by joining our dedicated team of therapists. Collaborate in a supportive environment, providing exceptional care to diverse populations while enjoying flexible sc...
3 weeks ago
Extended Opportunity Programs and Services (EOPS) Counselor
$72K - $100K *
Unlock potential by providing innovative counseling services to a diverse student body, supporting their educational and career goals through comprehensive counseling and program development in variou...
3 weeks ago
Licensed Independent Clinical Social Worker (LICSW) - Hybrid 32hrs/wk (Full-time)
$73K - $88K *
Join a team that's dedicated to enhancing the lives of adults and seniors through expert social work consultation, psychotherapy, and collaborative care in long-term facilities, while maintaining comp...
2 weeks ago
Behavioral Health & Forensic Clinical Coordinator
$78K - $123K *
Optimize behavioral health services for justice-involved individuals by overseeing screening, treatment coordination, and program development. Collaborate with legal and community partners to enhance...
3 days ago
Behavioral Health & Forensic Clinical Coordinator
$78K - $123K *
Champion the integration of behavioral health within the justice system by overseeing treatment coordination, case management, and program development for justice-involved individuals with mental heal...
3 days ago
Team Lead - Unlicensed - Mental Health 148
$76K - $94K *
Elevate your career by leading multidisciplinary teams in mental health services. Collaborate with various agencies to ensure comprehensive care for clients while participating in structured on-call r...
2 weeks ago
Clinician / Counselor (LMSW-cc, LCSW, LCPC-c, LCPC, LMFT)
$68K - $101K *
Transform lives by providing essential in-home support to children and youth with behavioral health needs. Lead treatment teams, collaborate with families, and deliver impactful services in community...
3 days ago
$200K - $250K *
Explore your potential as a senior medical executive leading psychiatric care. Oversee clinical standards, manage staff, and ensure compliance with regulations, while providing hands-on psychiatric tr...
Reposted 4 weeks ago
Behavioral Health Specialist II - Diversion Engagement
$73K - $128K *
Join our Diversion Engagement Team to support high utilizers of mental health and substance use services. Collaborate with community partners to provide outreach, case management, and therapeutic inte...
5 days 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.