My understanding of the AWS docs on this topic is that the configuration endpoint is what you need if you have multiple nodes. It looks like you would plug the configuration endpoint URL into their cache client software which download from your elasticache AWS management console (looks only available in Java and PHP at the moment).
If you just have one node then the node endpoint is the one you use with memcache, which with PHP looks like this:
$memcache = memcache_connect('yourECname.tvgtaa.0001.use1.cache.amazonaws.com', 11211);
http://www.php.net/manual/en/memcache.connect.php
p.s. once you download the the cache client, within it it has a link for installation directions which seem pretty self-explanatory: http://docs.aws.amazon.com/AmazonElastiCache/latest/UserGuide/Appendix.PHPAutoDiscoverySetup.html