Provide comprehensive nursing care for a range of conditions that include heart failure, diabetes, pneumonia, COPD management, medication management, joint replacements, cardiovascular surgeries and more. The home health team works closely with physicians to develop a personal plan of care which includes in-home health care, treatments, and recovery, all managed by ythe doctor. The care team includes: Your care team includes: Skilled nurses who work with your doctor to provide comprehensive care. Rehabilitation services provided by physical, speech, and occupational therapists. Certified Nursing Assistants (CNAs) meet a wide range of patient needs. Social workers assist with evaluations and identifying community resources. Home health is available to patients via phone, 24/7, year round. Additionally, we coordinate your care with other community organizations and care partners.