Stroke Navigator

What You'll Do:

Clinical Care Coordination:

Provide patientcentered navigation for stroke and TIA patients from admission through discharge and postacute followup. Assess patient and caregiver needs, barriers to care, and risks for readmission. Coordinate transitions of care to inpatient rehab, SNF, home health, outpatient therapy, and community resources. Support timely outpatient followup with neurology, primary care, and specialty services.

Patient and Family Education:

Provide individualized education on stroke etiology and warning signs (FAST/BEFAST), medications and adherence, risk factor modifications and secondary prevention, and lifestyle changes and community resources. Ensure understanding of discharge instructions and warning symptoms requiring urgent care.

Quality and Program Support:

Support compliance with Joint Commission/DNV/State stroke certification requirements. Participate in stroke quality measures and performance improvement initiatives. Collaborate with stroke coordinators, abstractors, and clinical leadership on outcomes improvement.

Interdisciplinary Collaboration:

Serve as a clinical liaison among emergency medicine, neurology, hospitalists, nursing, rehab services, case management, and pharmacy. Participate in stroke rounds, huddles, and multidisciplinary meetings as indicated. Communicate effectively across acute and postacute settings. Community Outreach & Prevention (as applicable): Participate in community education, stroke awareness programs, and prevention initiatives. Support relationships postacute providers, and community partners.

What You Bring:

Minimum Required:

Minimum 3 years of clinical nursing experience Experience in stroke care, neurology, ICU, telemetry, or emergency care Strong knowledge of stroke pathophysiology, treatments (including thrombolytics and thrombectomy), and recovery Excellent communication, organizational, and teaching skills Proficiency with electronic medical records and documentation standards

Preferred:

RN with a Bachelors Degree Previous inpatient and/or Post Acute care of stroke patients. Previous disease specific navigation experience.

License/Certification Minimum Required:

NYS Nursing License Valid Drivers License