Director of Complex Care Integration

Open Sky Community ServicesWorcester, MA
$37Hybrid

About The Position

The Director of Complex Care Integration is responsible for ensuring coordinated, trauma-informed, whole-person care for individuals with complex needs across the Community Services Division and the broader organization. This role focuses on reducing service fragmentation, strengthening cross-program collaboration, and improving care transitions for individuals involved in multiple systems. This position maintains a small, specialized caseload of high-risk individuals enrolled in the Community Support Program for Homeless Individuals (CSP-HI). In addition to direct service delivery, the Director serves in a systems-level role to support integration, program alignment, and effective service utilization.

Requirements

  • Master’s degree in social work, counseling, psychology, public health, or related field required; or equivalent advanced experience in complex care settings.
  • Minimum of five (5) years of experience working with individuals facing homelessness, behavioral health needs, substance use, or other complex challenges.
  • Valid driver’s license, reliable vehicle, and acceptable driving record, required.

Responsibilities

  • Maintain a small CSP-HI caseload with high-risk, high-complexity needs.
  • Coordinate care across programs and systems, ensuring continuity and minimizing duplication of services.
  • Facilitate cross-program case conferences and oversee transitions, including warm handoffs to reduce disengagement.
  • Collaborate with internal teams and external partners (healthcare, behavioral health, housing, and justice systems) to integrate care.
  • Monitor engagement and program utilization to support timely service access and financial sustainability.
  • Build partnerships, represent the organization externally, and identify system-level barriers with recommendations for improvement.

Benefits

  • Excellent Supervision (Individual and Group)
  • Professional Development
  • Training Opportunities
  • Generous paid time off plan – you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!)
  • Tuition Reimbursement Program
  • Reimbursement for a variety of Human Services certifications.
  • Medical, Dental and Vision Insurance with Prescription Plan
  • 403b Retirement Plan with Employer Match
  • Life Insurance (100% Employer-Paid)
  • Eligible employer for the Public Student Loan Forgiveness Program
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