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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$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...

Yesterday

  •   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...

Yesterday

  •   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...

Yesterday

  •   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

$79K - $90K *

Collaborate with a multidisciplinary team to provide bilingual mental health services, focusing on underserved children and families. Deliver individual and family therapy, assessments, and case manag...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $93K *

Join a team that's dedicated to transforming lives through compassionate care. As a Registered Nurse, you'll provide essential support during detoxification, ensuring patient safety and comfort while...

Yesterday

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

$83K - $124K *

Help us enhance healthcare quality through expert clinical education and professional development. Collaborate with teams to implement innovative educational programs and support staff in achieving th...

2 weeks ago

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

$85K - $90K *

Lead the charge in launching and overseeing a First Episode Psychosis program, providing clinical supervision, community outreach, and education while managing a dedicated team to enhance treatment en...

2 weeks ago

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

$95K - $130K *

Join our dynamic team of therapists dedicated to delivering high-quality behavioral healthcare. Enjoy flexible work schedules and a collegial environment while making a meaningful impact in patients...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $130K *

Join a team that's dedicated to providing top-tier behavioral healthcare. As a licensed therapist, you'll work with diverse populations, offering both in-person and telehealth services in a supportive...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $130K *

Join a team that's dedicated to delivering high-quality behavioral healthcare, fostering professional growth and work-life balance while impacting patients' lives positively through compassionate care...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $130K *

Empower healing journeys by delivering exceptional behavioral healthcare. Join a team committed to clinical excellence that values work-life balance and professional growth while providing flexible, s...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$105K - $130K *

Join a team that delivers high-quality behavioral healthcare with a focus on patient care and clinical excellence. Enjoy flexible schedules and a supportive environment while making a meaningful impac...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $130K *

Join a dynamic clinical team dedicated to delivering exceptional behavioral healthcare. Enhance patient experiences through flexible schedules and generous compensation while maintaining a healthy wor...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $131K *

Join a team that's advancing behavioral healthcare through dedicated therapists committed to excellence. Embrace flexible scheduling and collaborative environments while delivering quality care to div...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Lead psychiatric care for the geriatric population by conducting assessments and developing treatment plans, collaborating with a skilled team to ensure effective and holistic patient-centered care de...

Reposted 4 weeks ago

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

$100K - $120K *

Unlock your potential by delivering impactful psychotherapy to older adults in a supportive, flexible telehealth environment. Collaborate with a dedicated team while setting your own hours, ensuring a...

Alaska, USRemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$100K - $120K *

Shape the future of healthcare by leading a network of treatment centers, driving operational excellence, and fostering high-performing teams to enhance patient care and community engagement across di...

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$90K - $110K *

Champion innovative psychiatric care by partnering with a board-certified psychiatrist. Engage with patients, utilizing your skills in a supportive environment that offers flexible scheduling and targ...

4 weeks ago

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

$80K - $95K *

Lead a dynamic team in overseeing operations at a 208-bed skilled nursing facility. Drive quality improvement, ensure regulatory compliance, and foster a positive workplace culture while enhancing res...

1 week ago

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

$75K - $88K *

Lead strategic clinical operations and oversight, ensuring high-quality, trauma-informed care while managing staff and budgets. Collaborate with partners to enhance program development and compliance...

3 weeks ago

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

$90K - $100K *

Join our team of dedicated therapists to deliver high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth while making a meanin...

2 weeks 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.