Stroke Nurse Navigator

What You'll Do:

Clinical Care Coordination:

• Provide patient‐centered navigation for stroke and TIA patients from admission through discharge and post‐acute follow‐up.

• 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 follow‐up with neurology, primary care, and specialty services.

Patient and Family Education:

• Provide individualized education on stroke etiology and warning signs (FAST/BE‐FAST), 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 post‐acute settings.

Community Outreach & Prevention (as applicable):

• Participate in community education, stroke awareness programs, and prevention initiatives.

• Support relationships post‐acute 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 Bachelor's Degree
• Previous inpatient and/or Post Acute care of stroke patients.
• Previous disease specific navigation experience.

License/Certification

Minimum Required:

• NYS Nursing License
• Valid Driver's License

#IND1