Job Description

CARE AND BE CARED FOR – THIS IS YOUR HOME

To ensure effective transitions from acute to home care for frail adults and seniors with complex needs and/or high risk characteristics. To ensure communication and linkage with primary care; and provide timely and effective rapid response home care. The Rapid Response Nurse provides the first in-home nursing visit within 24 to 48 hours from hospital discharge. During this visit, the nurse will confirm the patient hospital discharge care plan, communicate the importance of primary care to avoid re-hospitalization, and perform medication reconciliation for the patient.

What will you do?

Ensure effective transitions from acute to home care and prevent existing patients from going to the hospital for the following target population: frail adults with complex needs and/or high risk characteristics. Ensure communication and linkage with primary care provider and...