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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$120K - $150K *

Join a team that's dedicated to providing comprehensive psychological assessments and therapies. Collaborate with multidisciplinary professionals to enhance patient care and contribute to mental healt...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$95K - $115K *

Empower mental health care by conducting evaluations, developing treatment plans, and managing medications. Collaborate with a dedicated team to provide comprehensive support and improve patient outco...

Today

  •   Less than 5 years exp.  •   Healthcare

$110K - $139K *

Inspire change by leading a clinical team in delivering innovative, trauma-informed care for incarcerated individuals. Drive program development and ensure high-quality health services while fostering...

6 days ago

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

$95K - $115K *

Elevate outpatient psychiatric care by collaborating with healthcare teams to evaluate, diagnose, and treat patients. Provide compassionate counseling, write prescriptions, and monitor progress while...

1 week ago

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

$72K - $93K *

Engage in the implementation of MTSS frameworks at the secondary level, focusing on academic, behavioral, and attendance support for at-risk learners. Collaborate with staff to enhance intervention pr...

Reposted 4 days ago

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

$72K - $93K *

Join a team that's dedicated to enhancing student success through the implementation of MTSS frameworks and targeted interventions for at-risk learners in secondary education. Drive data-informed deci...

4 days ago

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

$72K - $93K *

Transform student outcomes by leading the implementation of MTSS frameworks and interventions for at-risk learners. Collaborate with educators to enhance academic, behavioral, and attendance support a...

4 days ago

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

$72K - $93K *

Lead the charge in implementing MTSS frameworks at the secondary level, focusing on academic, behavioral, and attendance support for at-risk students. Collaborate with staff to enhance intervention st...

Reposted 4 days ago

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

$98K - $142K *

Advance clinical excellence by supervising multidisciplinary teams, ensuring quality treatment, and addressing operational challenges in a correctional healthcare setting. Lead with integrity while pr...

3 days ago

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

$120K - $145K *

Shape the future of healthcare law by leading legal operations, ensuring compliance, and providing strategic guidance across teams. Collaborate with stakeholders to mitigate risks, protect innovations...

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$81K *

Shape patient care by providing comprehensive nursing services in a dynamic psychiatric setting. Collaborate with a multidisciplinary team to assess, plan, and implement effective treatment strategies...

Today

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

$80K - $85K *

Transform mental health services by leading a dedicated team, overseeing daily operations, and ensuring compliance with regulations while promoting guest well-being and safety in a supportive environm...

3 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$70K - $99K *

Contribute to the well-being of individuals at a developmental center by performing psychological assessments, implementing behavior programs, and collaborating with an interdisciplinary team to enhan...

1 week ago

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

$90K - $105K *

Empower your career by leading a dynamic community mental health center. Oversee clinical services, manage staff, and drive innovative care initiatives while ensuring compliance and fostering a recove...

3 weeks ago

  •   5 - 7 years exp.  •   Food & Beverages

$80K - $85K *

Unlock potential by providing psychosocial support and care coordination for residents. Collaborate with healthcare teams to develop individualized care plans and advocate for residents' rights, ensur...

2 weeks ago

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

$110K - $130K *

Shape the future of clinical pharmacy by providing expert drug therapy evaluations, guiding prior authorization processes, and mentoring junior pharmacists to enhance patient care and medication manag...

2 weeks ago

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

$92K - $138K *

Champion inmate health and wellness programs in a correctional facility. Oversee healthcare contracts, ensure compliance with standards, and liaise with providers. Collaborate with corrections leaders...

2 days ago

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

$210K - $250K *

Champion integrated mental health care delivery models, collaborating with a multidisciplinary team to enhance patient outcomes through innovative approaches in both clinical and educational settings...

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$97K - $193K *

Lead the charge in ensuring clinical studies meet the highest standards of quality and compliance. Collaborate with sites and teams to drive successful execution and data integrity throughout the clin...

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Reposted yesterday

  •   5 - 7 years exp.  •   Healthcare

$75K - $90K *

Join a dedicated ACT Team as an RN, offering community-based behavioral health care. Engage with clients to provide medication management, holistic assessments, and crisis intervention, fostering inde...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$94K - $99K *

Pioneer compassionate care as a Hospice RN Case Manager, delivering hands-on nursing, coordinating services, and guiding families through their hospice journey with empathy and clinical excellence...

Yesterday

  •   Less than 5 years exp.  •   Healthcare

$85K - $110K *

Shape the future of behavioral support by providing clinical oversight and tailored interventions for individuals with developmental disabilities, enhancing their quality of life through effective str...

1 week ago

  •   Less than 5 years exp.  •   Healthcare

$83K - $118K *

Elevate your career by facilitating patient care and discharge planning. Collaborate with healthcare teams to optimize clinical outcomes and resource utilization, ensuring timely and effective patient...

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$85K - $102K *

Transform patient care as a licensed therapist, providing essential mental health services to diverse populations. Enjoy a flexible schedule, competitive compensation, and a supportive work environmen...

3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$140K - $175K *

Transform financial operations by leading fiscal management, ensuring compliance, and driving strategic planning to achieve operational goals. Collaborate with senior leadership to enhance revenue cyc...

Yesterday

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

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.