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 (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Lead the charge in providing exceptional therapy services with flexible scheduling options, including telehealth. Enjoy autonomy and support in a collaborative environment, focusing on client care and...
1 week ago
Nurse Care Manager, Psychiatric Services
$120K *
Advance your career by providing essential psychiatric care management, collaborating with interdisciplinary teams, and supporting clients through comprehensive care coordination and quality assurance...
2 days ago
EXECUTIVE DIRECTOR BEHAVIORAL HEALTH SERVICES - 12547
$107K - $165K *
Transform behavioral health services by leading operations, budgeting, and quality improvement initiatives. Collaborate with stakeholders to enhance patient care and ensure compliance with regulations...
4 days ago
$320K - $350K *
Pioneer a transformative approach in mental health by joining our multidisciplinary team as a General Psychiatrist. Collaborate closely to provide exceptional care and lead quality improvement initiat...
3 weeks ago
$62K - $112K *
Transform youth rehabilitation by leading treatment services in a secure-care environment. Collaborate with multidisciplinary teams to ensure effective, evidence-based behavioral health services and s...
Today
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Join a team that's dedicated to providing quality mental health care through flexible outpatient services. Enjoy autonomy with hybrid scheduling options while making a meaningful impact in the lives o...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Grow your career with a flexible therapist role offering autonomy in a supportive environment. Enjoy a hybrid schedule, competitive compensation, and comprehensive benefits while making a meaningful i...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Join a team that's dedicated to providing flexible outpatient therapy services. Enjoy autonomy with hybrid scheduling options while delivering impactful care and benefiting from a supportive environme...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Join a team that's dedicated to providing flexible therapy services with autonomy. Enjoy a hybrid work environment, competitive compensation, and comprehensive support to enhance your clinical practic...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Shape the future of mental health by providing exceptional therapy services. Enjoy flexible scheduling with hybrid options, autonomy in practice, and a supportive environment that prioritizes your pro...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Join a dynamic team of therapists providing flexible outpatient care. Enjoy autonomy with hybrid schedules, competitive compensation, and comprehensive support, allowing you to focus on delivering exc...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Grow your career with a flexible therapist role offering hybrid schedules, autonomy, and competitive compensation. Join a supportive team focused on outpatient care, with opportunities for supervision...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Join a dynamic team of therapists providing flexible outpatient care, including telehealth options. Enjoy autonomy in scheduling, competitive compensation, and comprehensive support to enhance your cl...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Transform your career by joining our team of therapists, offering flexible schedules and a supportive environment. Enjoy autonomy in your practice while delivering quality care through in-person and t...
1 week ago
Mental Health Therapist (LCSW, LICSW, LMHC, MHC, LMFT)
$75K - $100K *
Transform lives by joining a dynamic team of therapists offering flexible schedules, including telehealth options. Enjoy autonomy, competitive compensation, and comprehensive support to enhance your c...
1 week ago
LCSW-C/LICSW Inpatient Case Manager
$74K - $134K *
Shape patient-centered care by managing inpatient cases, collaborating with healthcare teams, and ensuring optimal outcomes from admission to discharge. Drive effective resource utilization and suppor...
2 weeks ago
LCSW-C/LICSW Inpatient Case Manager
$74K - $134K *
Advance patient-centered care by collaborating with multidisciplinary teams to develop and implement comprehensive plans that ensure optimal clinical outcomes throughout the continuum of care...
2 weeks ago
Licensed Clinical Social Worker (LCSW) - Outpatient
$65K - $100K *
Join a dedicated team of licensed therapists committed to delivering high-quality behavioral healthcare. Enjoy flexible schedules, competitive compensation, and a supportive environment focused on pro...
3 days ago
Licensed Clinical Social Worker (LCSW) - Outpatient
$65K - $100K *
Unlock potential by joining a dedicated team of licensed therapists committed to delivering high-quality behavioral healthcare while enjoying flexible schedules and a supportive work environment...
3 days ago
$85K - $100K *
Unlock potential by leading nursing services within our CSU facility. Oversee a dedicated team to ensure safe, efficient care while managing staff schedules and training needs. Collaborate with medica...
Reposted 3 weeks ago
Licensed Psychologist, Peer Reviewer - ABA Services - Remote
$91K - $163K *
Join a team that's dedicated to evaluating ABA treatment requests, applying clinical criteria, and collaborating with providers to ensure quality care. Leverage your expertise in a fast-paced environm...
1 week ago
Case Management Supervisor- Adults Division
$89K - $132K *
Transform case management services by leading a dedicated team, ensuring effective support for clients. Oversee staff performance, develop programs, and collaborate with community partners to enhance...
1 week ago
Licensed Professional Counselor (LPC) - Hybrid 32hrs/wk (Full-time)
$73K - $88K *
Transform lives by providing compassionate mental health counseling. Engage with patients in long-term care, develop tailored treatment plans, and collaborate with interdisciplinary teams to enhance w...
2 weeks ago
LCSW-C/LICSW Inpatient Case Manager
$74K - $134K *
Join a team that's dedicated to providing holistic, patient-centered care. As part of the Case Management Team, you will facilitate quality care from admission through discharge, collaborating with mu...
Reposted 1 week ago
Licensed Mental Health Therapist (LMFT, LPCC, & LCSW)
$89K - $119K *
Champion high-quality behavioral healthcare by delivering exceptional patient care. Join a supportive team focused on professional growth and work-life balance while enjoying competitive compensation...
1 week 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.