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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$36K - $500K+*

Develop and lead psychiatric care for youth with psychosis. Collaborate with interdisciplinary teams, oversee clinical practices, and enhance quality measures while providing education and research op...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$120K - $140K *

The Board Certified Psychiatric Nurse Practitioner (PMHNP) at Integrated Psych Solutions will provide individual psychiatric care in both inpatient and outpatient settings. This role involves managing...

Reposted 2 weeks ago

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

$85K - $102K *

Join a team that's dedicated to providing exceptional mental health care. As a licensed therapist, you'll deliver evidence-based treatment to diverse populations in a supportive, flexible environment...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $102K *

Advance patient care by providing exceptional therapy services to diverse populations. Collaborate with a dedicated clinical team in a supportive environment, ensuring flexible schedules and a focus o...

4 days ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $105K *

Lead the charge in overseeing outpatient clinical operations, ensuring efficient client flow and high-quality nursing care. Mentor staff, implement policies, and collaborate with teams to enhance beha...

Reposted 6 days ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Partner with us to provide essential psychiatric care through a collaborative, client-centered approach. Engage with our multidisciplinary team to deliver intensive mental health services that empower...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $100K *

Help us deliver comprehensive behavioral health services within an integrated team. Provide assessments, psychotherapy, and crisis interventions while collaborating with healthcare providers to meet p...

Reposted 1 week ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $101K *

Lead the Jail Medication Assisted Treatment program, providing essential substance use services to incarcerated individuals. Collaborate with healthcare teams to ensure effective treatment and continu...

1 week ago

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

$90K - $110K *

Optimize clinic performance by translating insights into actionable tools and routines. Collaborate across teams to enhance patient inflows, admissions, and retention while driving operational excelle...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$90K - $110K *

Lead a dedicated nursing team in a premier addiction treatment center, driving clinical excellence and positive patient outcomes while fostering a culture of accountability and teamwork. Shape nursing...

4 days ago

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

$87K - $135K *

Elevate clinical and social services through leadership and coordination of patient care, ensuring compliance and quality standards while fostering interdisciplinary collaboration and staff developmen...

3 weeks ago

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

$75K - $100K *

Transform the future of mental health care by providing flexible, patient-centered therapy. Enjoy autonomy in a supportive environment with opportunities for professional growth and competitive compen...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

Inspire positive change by providing therapeutic support to high school students facing emotional and behavioral challenges. Collaborate with families and school staff to foster a safe, trauma-informe...

2 weeks ago

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

$125K - $150K *

Join a team that's dedicated to empowering Data and AI Leaders with expert guidance. Drive success by optimizing strategies, enhancing decision-making, and fostering relationships that mitigate risks...

Toronto, ONIn-Person

Reposted 3 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$110K - $130K *

Champion the success of Data and AI leaders by providing expert guidance, optimizing decision-making, and mitigating risks. Enhance client results through innovative insights and robust relationships...

London, ONIn-Person

Reposted 3 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$125K - $150K *

Shape the future of data and AI by providing expert counsel to clients, enhancing their decision-making and strategic initiatives while fostering strong relationships and delivering tailored solutions...

Calgary, ABIn-Person

Reposted 3 weeks ago

  •   11 - 15 years exp.  •   Healthcare

$75K - $100K *

Optimize patient care by providing therapeutic services in a flexible, hybrid environment. Enjoy autonomy in scheduling while collaborating with a supportive team. Benefit from competitive compensatio...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Contribute to a dynamic team of therapists offering flexible hybrid schedules, focusing on outpatient care with autonomy. Enjoy a supportive environment enhancing your practice and professional develo...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Champion a transformative healthcare experience by providing flexible outpatient therapy, with opportunities for full or part-time roles in a hybrid setting, supported by dedicated staff and comprehen...

Mansfield, MARemote

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Elevate your career by providing flexible therapy services in a supportive environment. Enjoy schedule autonomy with options for telehealth and outpatient care while receiving a robust compensation pa...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Join a team that's shaping the future of mental health care through innovative hybrid therapy solutions. Enjoy flexible scheduling, robust support, and a competitive compensation package as you provid...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$75K - $100K *

Unlock the potential of your therapeutic skills in a flexible, supportive environment. Enjoy autonomy with hybrid scheduling while delivering outpatient care and benefiting from comprehensive consulta...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$104K - $135K *

Champion patient care by providing 100% outpatient clinical services in a supportive group practice. Enjoy competitive compensation, full benefits, and a strong work/life balance while making a meanin...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Contribute to client well-being by providing remote counseling services. Manage a diverse caseload, conduct evaluations, and apply therapeutic methods while ensuring compliance with New Mexico's LPCC...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$115K - $120K *

Unlock potential by providing remote counseling to clients with diverse emotional and behavioral health needs. Manage a caseload while receiving administrative support and clinical consultation, ensur...

Albuquerque, NMRemote

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.