Conducts comprehensive pre-admission and preoperative assessments for surgical and procedural patients, including review of medical history, medications, allergies, prior anesthesia history, functional status, comorbidities, and relevant diagnostic information. Identifies patients who require additional clinical optimization, specialty input, testing, medication planning, or anesthesia review prior to surgery or procedures. Orders, reviews, interprets, and follows up on appropriate preoperative testing within scope of practice, institutional policy, and established perioperative protocols. Assesses and manages common perioperative risk factors, including cardiovascular, pulmonary, endocrine, renal, anticoagulation, medication, frailty, and social or access-related considerations that may affect procedural readiness. Collaborates with anesthesiologists, surgeons, proceduralists, registered nurses, residents, primary care providers, specialty consultants, and administrative staff to resolve clinical and operational issues before the day of surgery. Provides clear patient and family education regarding preoperative instructions, medication management, testing needs, follow-up requirements, and perioperative expectations. Completes accurate, timely, and thorough documentation in the electronic medical record and ensures preoperative assessments meet hospital, departmental, regulatory, and clinical standards. Escalates complex, high-risk, incomplete, or time-sensitive cases to anesthesia, surgical, nursing, APP, or operational leadership as appropriate to support safe patient care and reliable OR/procedural throughput. Contributes to performance improvement efforts related to patient readiness, PAT throughput, cancellation reduction, documentation quality, patient safety, resident education, and standard work development