Psychosocial and functional status assessment, transitional care planning, clinical care progression, facilitate patient/family care conferences, participate in interdisciplinary rounds, and patient/family education Collaborates effectively with the utilization review nurse, patient's physicians and the interdisciplinary care team to provide a comprehensive assessment of the patient's medical care needs, psychosocial needs, any social determinants of health needs, goals/outcome attainment and continued care needs Seeks consultation from appropriate disciplines/departments as required to proactively identify and resolve delays to expedite care and facilitate discharge. Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact Minimum 1 year nursing experience in the acute care setting.