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.
$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
$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
Licensed Mental Health Therapist (LCSW, LMFT or CMHC) - Outpatient practice
$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
Medical Director - Admissions & Urgent Care
$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
Medical Director - Admissions & Urgent Care
$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
Re-Entry and Rehabilitation Administrator
$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
PSYCHIATRIC SOCIAL WORKER I/STIPEND (NONCOMPETITIVE)
$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
Youth Mental Health Therapist (Bilingual Spanish)
$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
RN - Registered Nurse ( Day Shift )
$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
Clinical Education Specialist (RN) - Emergency Department
$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
Mental Health Clinical Supervisor
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Licensed Behavioral Health Therapist
$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
Psychiatric Nurse Practitioner
$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
$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...
3 weeks ago
$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
Physician Assistant Psychiatry
$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
Licensed Nursing Home Administrator
$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
Program Director (LCSW, LPC, LMFT)
$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
Licensed Clinical Social Worker @ Bridgeville, PA
$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
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.