Director of Complex Care Integration

Description and Responsibilities

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.

Key Responsibilities include:

• 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.

Qualifications

• 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.

About Us

At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life.

Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL.

At Open Sky, you’ll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond.

As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives.

Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today!

 Benefits of Working for Open Sky Include:

• Excellent Supervision (Individual and Group), Professional Development, and 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!)
• We pay for your higher education!  Ask about our Tuition Reimbursement Program, and 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
• And more! 

Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. 

Base Rate