Utilizes evidence-based, approved practice protocols in planning and implementing care; Initiates appropriate referrals and consultations; Provides specialty specific consultation services upon request and within specialty scope of practice; Facilitates the patient's transition between and within health care settings, such as admitting, transferring, and discharging patients. Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.