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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$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

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

$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

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

$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

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

$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

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

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$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

  •   Less than 5 years exp.  •   Healthcare

$79K - $105K *

Shape the future of patient care by coordinating high-quality, cost-effective services. Utilize your clinical expertise to advocate for members, ensuring appropriate care transitions and fostering col...

Hopewell, NJRemote

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$124K *

Manage comprehensive psychiatric care for patients with severe mental illness. Collaborate with healthcare teams to deliver effective treatment and community outreach, ensuring high-quality service in...

2 days ago

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

$80K - $90K *

Empower families by coordinating timely special education services, ensuring compliance with laws, and fostering collaboration among service providers to support children's developmental needs across...

1 week ago

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

$85K *

Join a dedicated team to provide therapeutic services for older adults, focusing on group and individual therapy. Collaborate with healthcare professionals to enhance patient care and ensure complianc...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $155K *

Transform patient care by leading clinical services, ensuring quality standards, and fostering collaboration across departments to enhance organizational success and culture...

1 week ago

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

$68K - $101K *

Join a team that's dedicated to providing essential in-home support for children and youth with behavioral health needs. Lead treatment teams, collaborate with families, and make a meaningful impact i...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $105K *

Elevate your career by providing culturally competent mental health services to at-risk youth and families. Collaborate with diverse communities, ensuring quality care and support while meeting essent...

1 week ago

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

$95K *

Grow your career with a dynamic role combining clinical training and case management. Support nursing staff and ensure high-quality healthcare for individuals in residential settings while promoting c...

Today

  •   Less than 5 years exp.  •   Healthcare

$80K - $96K *

Innovate clinical services for adults in a Residential Treatment Facility by conducting assessments, developing treatment plans, and collaborating with a multidisciplinary team to enhance client growt...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$63K - $98K *

Empower individuals and families through expert genetic counseling, coordinating diagnostic testing and providing comprehensive follow-up. Join a dedicated team focused on enhancing patient understand...

Yesterday

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

$78K - $94K *

Transform behavioral health services by leading clinical strategy, fostering innovation, and developing strong clinical leaders. Drive quality care and community impact while ensuring compliance and c...

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$80K - $95K *

Champion a patient-centered environment by leading clinical operations, ensuring compliance, and fostering staff development. Collaborate with teams to enhance care quality and support strategic goals...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Help us promote a safe and professional healthcare environment while ensuring optimal patient care. Lead and supervise clinical staff, develop policies, and enhance service quality through effective c...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$60K - $107K *

Join our team to provide integrated behavioral health case management, ensuring quality care for patients in their homes. Collaborate with a multidisciplinary team to enhance treatment plans and suppo...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$80K - $95K *

Advance your career by overseeing clinical staffing and patient coordination. Collaborate with teams to enhance quality and education programs while serving as a resource and role model. Engage in dir...

3 days ago

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

$95K - $110K *

Elevate your career by delivering compassionate, evidence-based therapy in a dynamic outpatient setting. Collaborate with a dedicated care team to support patient recovery and refine clinical practice...

1 week 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.