Participate in IDDRs presenting GMLOS, ALOS, anticipated discharge plan, and discharge barriers Drive progression of care utilizing evidence based clinical guidelines (i.e., InterQual) Facilitate a discharge plan based on clinical needs and resources (e.g., wound vac) Ensures post-acute referrals are entered in EMR Discharge plan is in place and documented in EMR Choice forms are obtained as needed IMMs are signed 48 hours prior to DC Ensures all are in agreement with discharge plan, date of discharge, and plan for care transitions Reviews EMR and ensures when appropriate: DME orders entered and Face to Face documentation (as applicable) is done DC summaries are written and in system in time for discharge All tests are scheduled timely and escalate as needed (Lab, Imaging, Surgery) LOS does not extend beyond calculated GMLOS and ensure everyone on care team is working towards timely discharge. Clinically complex cases are worked up appropriately for discharge needs (wound vac, IV meds, Meds Requiring Pre Approval, etc.) Incumbent must respect beliefs and values while advocating for the clients right to self-determination and to make informed choices.