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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$79K - $119K *

Transform healthcare delivery by managing complex care needs through telephonic assessments, care plan development, and resource coordination, ensuring optimal member health outcomes across multiple s...

1 week ago

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

$79K - $119K *

Unlock potential by managing complex care needs for members through telephonic assessments, care plan development, and resource coordination, ensuring optimal health outcomes and access to services ac...

1 week ago

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

$210K - $250K *

Drive meaningful change by leading clinical services for substance use programs across multiple counties. Collaborate with a dynamic team, oversee patient care, and foster professional growth while en...

3 weeks ago

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

$70K - $106K *

Drive client wellness and autonomy through effective case management, advocacy, and resource coordination. Collaborate with healthcare providers to ensure safe, client-centered care while maximizing h...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $106K *

Empower clients by coordinating comprehensive care plans that enhance wellness and autonomy. Collaborate with healthcare providers to ensure effective, client-centered services while advocating for pa...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $106K *

Champion client wellness through effective case management, advocating for individualized care plans, coordinating services, and ensuring quality outcomes while collaborating with healthcare providers...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$70K - $106K *

Unlock client wellness by managing comprehensive care plans, coordinating services, and advocating for effective health solutions. Collaborate with providers to ensure timely, equitable care while enh...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $95K *

Unlock potential by joining a collaborative care team as a licensed Mental Health Professional, providing evidence-based support to employees and families in a patient-centered environment focused on...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $95K *

Champion holistic health by providing evidence-based counseling in a collaborative care environment. Support patients' mental well-being while partnering with primary care providers to enhance overall...

6 days ago

  •   Less than 5 years exp.  •   Healthcare

$73K - $90K *

Advance patient care by assessing needs, developing nursing plans, and coordinating treatment. Collaborate with healthcare teams to ensure effective communication and maintain high standards of nursin...

3 days ago

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

$81K - $106K *

Transform patient care by providing compassionate nursing in a dynamic mental health setting. Collaborate with a diverse team to assess, plan, and implement effective treatment for children, adults, a...

2 weeks ago

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

$80K - $90K *

Join a dynamic team dedicated to providing compassionate, individualized ABA care. Play a key role in supporting children with autism through effective treatment strategies, collaboration, and mentors...

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

Unlock potential by leading a dedicated team of BCBAs in providing compassionate, individualized ABA care. Enjoy a supportive environment with flexible scheduling, professional growth opportunities, a...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $90K *

Grow your career with a supportive team dedicated to providing high-quality ABA services. Collaborate with caregivers and supervise clinical teams to enhance client outcomes in a nurturing environment...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$80K - $115K *

Empower individuals by providing therapeutic support to diverse populations. Shape treatment plans and foster growth in clients while collaborating with a dedicated clinical team. Drive positive outco...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$67K - $115K *

Provide telephonic care management for members with complex needs. Assess, develop, and implement care plans, coordinating resources to optimize health care across multiple states while ensuring membe...

Reposted today

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

$67K - $115K *

Join a dedicated team to optimize healthcare by assessing and managing complex patient needs through telephonic support. Collaborate with providers to ensure effective care plans and coordinate resour...

Reposted today

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

$67K - $115K *

Transform care management for members with complex needs by assessing, developing, and coordinating care plans to optimize health outcomes. Engage with providers and evaluate care effectiveness while...

Reposted today

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

$67K - $115K *

Transform the care experience by managing complex member needs through assessments, care plan implementations, and resource coordination. Collaborate with healthcare professionals to optimize outcomes...

Reposted today

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

$67K - $115K *

Drive effective care management for members with complex needs by implementing personalized health plans and coordinating services to optimize health outcomes. Collaborate with healthcare providers to...

Reposted today

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

$67K - $115K *

Join a team that drives care management for members with complex needs by assessing and implementing personalized care plans. Work virtually, ensuring optimal health outcomes through effective coordin...

Reposted today

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

$67K - $115K *

Shape the future of health care as a Telephonic Nurse Case Manager I, managing care for members with chronic needs. Utilize your clinical expertise to implement and evaluate personalized care plans wh...

Reposted today

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

$67K - $115K *

Engage with members by managing care for complex health needs through assessments, coordination, and ongoing modifications of care plans. Work remotely with flexible hours to enhance member health acr...

Reposted today

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

$76K - $98K *

The Psychiatric Social Worker I position involves providing professional social work services to clients in need of mental health support, particularly within correctional health settings. Responsibil...

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$83K - $115K *

Champion holistic mental health by providing personalized therapy and support. You will engage with clients, develop treatment plans, and maintain a manageable caseload, all while adhering to ethical...

Reposted yesterday

  •   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.