Discharge Planners / Medical Social Workers



NOHO Home Health Care works closely with Discharge Planners and Medical Social Workers to ensure a seamless transition from hospital to home. We understand the challenges of transition and help to educate the patient about the discharge process and of the hand-off of care to the post-hospital care.

This is why NOHO Home Health Care accepts referrals any day of the week. Our weekend service assures that any discharges on the weekend are handled promptly and smoothly just as they would be during the week.

Our Care Transitions Team works directly with Discharge Planners to aid in patient education prior to discharge, promptly scheduling home health services, proactively monitoring the care for patients who may be at risk for hospital readmission, and coordinating care with patients’ physicians. As more attentions to be placed on reducing avoidable re-hospitalizations, home health care becomes an even more essential component of patient’s care plan

NOHO Home Health Care  is dedicated to reduce re-hospitalizations.