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.
Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)
$83K - $113K *
Empower your career by delivering high-quality behavioral healthcare. Join a supportive team focused on clinical excellence, work-life balance, and professional growth in a modern, flexible environmen...
2 weeks ago
Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)
$83K - $113K *
Champion high-quality behavioral healthcare by delivering exceptional mental health services. Collaborate with a dedicated team in a supportive environment, ensuring work-life balance while making a m...
2 weeks ago
Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)
$83K - $113K *
Unlock potential by delivering high-quality behavioral healthcare in a supportive environment. Join a dedicated team of licensed therapists committed to clinical excellence and work-life balance, prov...
2 weeks ago
Associate Mental Health Therapist
$83K *
Drive impactful mental health support by providing therapy to diverse clients, including children and families. Collaborate with professionals to enhance care coordination while fostering a positive...
Reposted 1 week ago
Manager, Crisis Nurse Practitioner Services - Glick Recovery Campus
$100K - $120K *
Shape the future of behavioral health crisis care by leading a dynamic clinical team, ensuring quality and compliance while providing compassionate, comprehensive support during individuals' most vuln...
Reposted 2 weeks ago
Licensed Social Worker (LSW) - Outpatient practice
$75K - $106K *
Transform patient care as a Licensed Therapist, delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment. Join a dynamic team committed to clin...
3 weeks ago
Behavioral Health Consultant LCSW, LMFT, LPCC or Licensed Psychologist
$98K - $140K *
Champion compassionate care by joining a dedicated team focused on improving behavioral health outcomes for underserved communities through collaboration and innovative treatment strategies...
1 week ago
$95K - $115K *
Optimize operations by managing the Utilization Review department, ensuring compliance and maximizing patient benefits through effective collaboration with clinical staff and Medicaid reviewers...
2 weeks ago
Pediatric Integrated Behavioral Health Clinician (Psychologist)
$115K - $147K *
Elevate patient care by providing integrated behavioral health services in a dynamic primary care setting. Collaborate with medical teams to deliver evidence-based therapies to diverse populations, en...
Today
$80K - $95K *
Join a team that's dedicated to enhancing patient care through effective management and collaboration. As a key leader, you'll oversee personnel, coordinate resources, and support behavioral health st...
2 weeks ago
Integrated Behavioral Health Clinician - Psychologist Primary Care
$114K - $170K *
Lead the charge in enhancing patient well-being by providing comprehensive behavioral health assessments and interventions. Collaborate with primary care teams to deliver integrated care and support p...
1 week ago
Child & Adolescents Therapist - Venice Fl
$69K - $103K *
Transform lives by providing therapeutic support to children and adolescents. Leverage clinical autonomy within a supportive network to deliver exceptional care, ensuring compliance and fostering prof...
1 week ago
Behavioral Health Clinic Administrator III - Mental Health Services
$105K - $148K *
Join a dynamic team to lead and oversee behavioral health services, ensuring quality care and operational efficiency for diverse populations. Collaborate with multi-disciplinary staff while providing...
4 weeks ago
$70K - $116K *
Champion the mental health journey by providing expert psychological support and interventions for patients and families, ensuring comprehensive care in both inpatient and outpatient settings while co...
4 days ago
Behavioral Health Supervisor - Onsite (Clinical Supervisor, East Valley))
$80K - $95K *
Champion integrated behavioral health services by providing clinical leadership, mentoring, and operational support. Collaborate with care teams to enhance patient care, ensure compliance, and foster...
3 weeks ago
Senior Behavioral Health Therapist: Adolescent Partial Hospitalization Program
$84K - $123K *
Lead the development and management of a new Adolescent partial hospitalization program, ensuring high-quality therapy services and operational excellence while overseeing a team of behavioral health...
1 week ago
Psychiatric Nurse Practitioner/Physician Assistant (Pool/PRN)
$86K *
Unlock potential by joining a dedicated team providing comprehensive medical services to youth and adults. Lead psychiatric evaluations, treatment planning, and medication management while collaborati...
Today
$90K - $110K *
Shape a high-performance culture by leading HR initiatives that empower employees, enhance productivity, and align talent strategies with organizational goals. Drive recruitment, retention, and employ...
2 days ago
$97K - $122K *
Lead the charge in shaping a high-performance culture by driving HR initiatives that empower employees, enhance productivity, and align talent strategies with organizational goals for success...
3 weeks ago
$97K - $122K *
Champion HR initiatives to foster a high-performance culture that enhances talent acquisition, retention, and employee development, aligning goals with organizational growth within a premier mental he...
4 weeks ago
Licensed Clinical Social Worker (Mental Health Therapist)
$72K - $115K *
Join a team that's dedicated to delivering high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth while making a meaningful i...
3 weeks ago
Licensed Clinical Social Worker (Mental Health Therapist)
$72K - $115K *
Deliver high-quality behavioral healthcare while enjoying flexible schedules and a supportive environment. Join a growing team of licensed therapists committed to clinical excellence and work-life bal...
3 weeks ago
Licensed Clinical Social Worker (Mental Health Therapist)
$72K - $115K *
Join a dynamic team of Licensed Therapists dedicated to delivering high-quality behavioral healthcare. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth whi...
3 weeks ago
Licensed Clinical Social Worker (Mental Health Therapist)
$72K - $115K *
Champion high-quality behavioral healthcare by delivering exceptional patient care. Enjoy flexible schedules, a supportive environment, and opportunities for professional growth while managing a stabl...
3 weeks ago
$79K - $105K *
Transform patient care by assessing clinical needs, coordinating services, and mentoring staff. Drive quality outcomes through effective communication and advocacy, ensuring a seamless continuum of ca...
Yesterday
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.