Early Supports for Infants & Toddlers (ESIT)
Senior Director of Home Visiting
Full Time, Regular Status, FLSA Exempt
Location(s): Seattle; South King County
$85,800 - $113,700 annually
Dependent on years of experience

Sign-on Bonus: $9,000
1/3 immediately; 2/3 after one (1) year

Apply by 3/10/23; applications are considered as received.

Childhaven is an equal opportunity employer that is committed to diversity, inclusion, and equity. We are upholding this by recruiting candidates of every race, creed, color, religion, national or ethnic origin, gender or gender identity, age, veteran status, sexual orientation, marital status, disability, and all other historically marginalized and excluded communities other protected status as provided by law.  Qualified individuals who bring diverse perspectives to the workplace are highly encouraged to apply!

Seven years ago, Childhaven held up a mirror to itself and asked:

What would we do differently if we made strategic decisions based on what advanced our vision and impact, as opposed to what simply advanced our organization?

That simple yet profound question was born out of a feeling of being constructively dissatisfied with the status quo, and the fact that outcomes, at a population level, have not been improving - especially for low income and families of color. This period of reflection led to a series of decisions and action that resulted in a period of extraordinary transformation, growth, and partnership, unlike anything previously experienced since the organization’s founding in 1909.

By reviewing the Executive Summary of the Strategic Impact Plan (SIP), you’ll discover that the Childhaven of 2023 scarcely resembles the Childhaven of 2016. Today, Childhaven has the region’s most comprehensive continuum of care for children and families who have experienced trauma and adversity. Their approach is built on the principles and practices of Infant and Early Childhood Mental Health and prioritizes authentic relationships with those who are served, the communities it works in, and other members of the eco-system in which it operates.

Within Childhaven’s Strategic Impact Plan you’ll also discover a dynamic community-driven and evidence-informed plan that has strategies designed to:

  • Strengthen Direct Services (child and family level)
  • Expand Indirect Services (workforce and community level)
  • Lead System Change (system and population level)

At this exciting point of inflection, Childhaven is seeking an experienced leader to lead our ESIT program and help advance our bold vision that all children are safe and healthy; thriving physically, socially, emotionally, and educationally; well-nurtured by family and community.

You are a passionate and dedicated individual who shares our vision: To help ensure that all children are safe and healthy; thriving physically, socially emotionally and educationally; and well nurtured by family and by their community.  You too are constructively dissatisfied with the status quo. You are equal parts learner, leader and mentor and see around the corners of a challenge, replaying the question of “What if…” with a reply of “Why not…” If this sounds like you, then we want to meet, get to know you, and talk more about the positive impact we could have together.

The Senior Director of Home Visiting for Early Supports for Infants & Toddlers Director (ESIT) and Healthy Start position will have the opportunity to help us develop and scale a best in class birth to three ESIT program. This position will staff, plan, organize, implement, grow, and monitor all components of the ESIT program, while working collaboratively with internal and external partners to ensure the needs of young children and their families are being met with excellence.

Serving the Greater Seattle and South King County areas, this position will report to the Chief Program Officer (CPO).


  • Develop and implement a best-in-class ESIT program consistent with federal, state, and county rules and regulations, all ESIT contracts, and today’s best practices.
  • Hire, train, inspire and lead a team of qualified ESIT staff to ensure the highest quality services are being provided at all times.
  • Regularly review and evaluate program outcomes and impact.
  • Help prepare and manage budgets, ensuring programs meet or exceed growth and financial goals.
  • Maximize fee for service and contract revenue by ensuring therapists achieve their caseload and billable time expectations, and all timeline requirements are met.
  • Be willing and available to assist with assessments, Family Resources Coordination, and other direct service duties when needed.
  • Hold a small caseload of clients.
  • Role model Childhaven’s Values and Attributes of TEAMWORK, EQUITY, EXCELLENCE, DEDICATION, RESPECT, and REFLECTION.
  • Ensure exceptional service delivery, paperwork, productivity, attitude, and communication.
  • Regularly review and evaluate program finances, outcomes and impact.
  • Maintain knowledge of and compliance with all ESIT federal Part C, and third party payor contract requirements.
  • Maintain current knowledge of available community resources to make necessary referrals in order to best meet families’ needs.
  • Grow the program through ongoing internal and external education on the importance of early identification, early referral, and early intervention.
  • Lead internal and external program audits, making constant improvements where gaps are identified.
  • Comply with all Childhaven policies and procedures.
  • Other duties as assigned.


Knowledge, Skills, and Abilities

  • Understanding of and ability to hold the tenets of Infant and Early Childhood Mental Health.
  • Dedication and advocacy toward advancing equity and undoing institutionalized racism. 
  • Firm commitment to family-centered, inclusive, interdisciplinary, and strengths-based ESIT best practices in natural environments.
  • Experience leading and growing an ESIT team in WA (preferably King County)
  • Experience recruiting, mentoring, and supporting interns and new graduates.
  • Strong understanding of ESIT contracts and public and private insurance best practices.
  • Ability to interpret financial statements and Key Performance Indicators.
  • Strong interpersonal, communication, and leadership skills.
  • Experience using all aspects of an electronic medical records system.


  • Master’s degree in a related clinical/service field.
  • Licensed Speech Therapist, Occupational Therapist, or Special Educator with experience providing ESIT services.
  • 5+ years of experience leading/managing a growing, evidence-based, cohesive early intervention team.
  • Experience in ESIT billing and funding streams. 
  • Must pass background check and drug screen requirements.
  • Valid WA state driver’s license and automobile insurance including access to dependable personal transportation.

We are dedicated to recruiting candidates who reflect the diversity and lived experiences of the communities we serve. Multilingual and multicultural candidates are encouraged to apply! In addition to position specific qualifications, preferable skills include:

  • Bilingual in English/Spanish highly desired.

Childhaven has committed to equitable compensation practices, including pre-determining what roles require and the qualities needed from the individual that will fill the role. To achieve this, Childhaven uses a grade and step approach to determine the compensation of each team member.

We strive to make Childhaven a great place to work by living our values: Teamwork, Equity, Excellence, Dedication, Respect, and Reflection. Here’s a bit of what we offer our staff:

  • We believe in a fully transparent hiring process.
  • We offer a comprehensive Benefits Package including Medical, Dental, and Vision insurance. Expanded benefits include a flexible spending account (FSA), healthcare reimbursement account, and 403(b) savings program. A full listing of benefits is available.
  • Opportunities to attend a wide variety of trainings on clinical and educational topics, advocacy, and more.
  • We’re dedicated to serving the full range of cultural diversity in our community, and to providing families with care that’s relevant to them. As a member of Childhaven staff, you’ll be encouraged to contribute to community engagement strategies and our antiracism council, which makes ongoing recommendations to ensure that our programs and protocols are doing their part to dismantle systemic racism.

Childhaven values organizational culture and professional development. Team members at Childhaven have the opportunity to develop skills and knowledge through the following:

  • Trainings
  • Project work groups
  • Clinical and/or reflective supervision
  • Community advocacy and engagement
  • Diversity, Inclusion, and Racial Equity Council (DIREC)


Please apply through our website. If you require an accommodation to participate in the application or selection process, please let us know.

This position will be open until filled; applicants are encouraged to apply. In addition to completing the application online, please attach a resume and cover letter when prompted.

Childhaven would like to get an accurate understanding of each applicant’s experience and interest.

Equal Opportunity Employer, including disabled and veterans.