RN, Team Lead-Home Health (FT, Days)

About the role

To ensure coordination of care and services provided to all patients receiving home care services in the Home Health Program. Key functions are to develop a coordinated admission plan of care for patients referred; facilitate coordination of disciplines and services; use problem-solving and critical thinking skills to facilitate, coordinate, and execute effective, timely responses to clinical problems as they arise for patients and home care clinicians; and facilitate transitions across the continuum of healthcare settings for all home care patients.

Responsibilities

• Referral and Admissions to Home Care: Receives and evaluates appropriateness of the home health referral in collaboration with other team members (care team members, supervisor, scheduler, care (discharge) coordinators, long-term care team, expanded care, physicians, clinic social workers, and others as needed).
• Ensures timely admission based on assessment.