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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$79K - $119K *

Unlock potential by managing complex care for NICU patients. Utilize your clinical expertise to assess, coordinate, and evaluate care plans, ensuring optimal health outcomes through effective communic...

Yesterday

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

$180K - $220K *

Champion patient care by diagnosing and treating psychiatric disorders. Collaborate with a multidisciplinary team to develop tailored treatment plans, engage in research, and ensure comprehensive ment...

4 days ago

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

$500K *

Join a team that's dedicated to transforming mental health care through innovative outpatient services, providing exceptional support to patients while collaborating with a skilled team of professiona...

Today

  •   Less than 5 years exp.  •   Healthcare

$500K *

Support patient mental health by providing outpatient psychiatric care, leveraging advanced treatment methods. Enjoy a collaborative environment with excellent clinical support and flexible scheduling...

Today

  •   Less than 5 years exp.  •   Healthcare

$76K - $101K *

Transform lives by delivering high-quality behavioral healthcare. Join a dedicated team of licensed therapists committed to clinical excellence and professional growth while enjoying a balanced work-l...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$62K - $111K *

Serve as a clinical expert to assess and counsel patients and families, fostering positive discharge outcomes through collaborative care planning and resource identification while adhering to high sta...

Reposted today

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

$180K - $220K *

Join our team as a Medical Director, overseeing clinical operations and ensuring quality care for behavioral health clients. Lead staff development, manage outpatient programs, and drive community out...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$115K - $130K *

Elevate financial performance by leading a comprehensive revenue cycle strategy. Drive operational excellence, enhance revenue integrity, and collaborate with executive leadership to optimize cash flo...

2 weeks ago

  •   8 - 10 years exp.  •   Healthcare

$110K - $130K *

Join a team that's dedicated to providing whole-person care as a Behavioral Health Nurse Practitioner, collaborating with physicians to improve patient outcomes and educate families in a supportive an...

3 weeks ago

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

$146K *

Transform lives by providing expert psychological services in an interdisciplinary team setting, conducting assessments, and delivering therapy to individuals with mental illness. Your leadership will...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$78K - $92K *

Engage in impactful virtual counseling for patients with acute mental health conditions. Develop treatment plans, exercise clinical judgment, and collaborate with multidisciplinary teams to enhance be...

United StatesRemote

Today

  •   Less than 5 years exp.  •   Business Services

$99K - $106K *

Drive comprehensive nursing care and team leadership in a behavioral health setting, ensuring compliance and quality standards while advocating for patient needs and coordinating with multidisciplinar...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$68K - $101K *

Partner with us to provide essential in-home support for children and youth facing behavioral health challenges. Lead treatment teams, deliver counseling, and empower families in a collaborative envir...

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $198K *

Join us to lead innovative clinical programs, enhancing care solutions across oncology and cardiovascular disease. Collaborate with stakeholders to improve member experiences and clinical outcomes whi...

2 days ago

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

$115K - $198K *

Join a team that's dedicated to enhancing clinical programs across oncology and cardiovascular care. Lead initiatives that improve member experiences and outcomes while collaborating with key stakehol...

2 days ago

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

$115K - $198K *

Join a dynamic team as you lead innovative clinical programs, enhancing care solutions across oncology and cardiovascular disease. Collaborate with stakeholders to improve member experiences and clini...

2 days ago

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

$115K - $198K *

Empower healthcare innovation by leading clinical programs for oncology and cardiovascular care. Drive strategic partnerships, enhance member experiences, and optimize outcomes through comprehensive m...

2 days ago

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

$115K - $198K *

Lead the development and management of comprehensive clinical programs, enhancing care solutions for oncology and cardiovascular conditions. Collaborate with stakeholders to improve member experiences...

2 days ago

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

$115K - $198K *

Drive innovative clinical programs across oncology and cardiovascular care, enhancing member experiences and outcomes. Collaborate with stakeholders to develop integrated solutions and manage national...

2 days ago

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

$115K - $198K *

Champion innovative clinical solutions by managing comprehensive care programs across oncology and cardiovascular disease. Collaborate with stakeholders to enhance member experiences and clinical outc...

2 days ago

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

$79K - $106K *

Transform patient care by joining a dynamic team of Licensed Therapists dedicated to delivering high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunitie...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$280K - $350K *

Shape the future of behavioral health by leading Admissions and Psychiatric Urgent Care services. Oversee clinical operations, ensure quality care, and mentor a dedicated team while enhancing patient...

2 days ago

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

$280K - $350K *

Join a team that's dedicated to enhancing behavioral health services through clinical leadership and operational excellence. Drive quality care and strategic development in psychiatric urgent care and...

2 days ago

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

$115K - $147K *

Join us to lead innovative re-entry and rehabilitation programs, enhancing the lives of individuals in the correctional system. Drive strategic initiatives, oversee staff, and collaborate with justice...

2 days ago

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

$76K - $98K *

Transform lives by providing essential social work services for mental health treatment. Conduct assessments, develop care plans, and deliver therapy within a supportive multidisciplinary team, ensuri...

Reposted 2 weeks ago

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

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.