Case Management

Nancy Ruffner

Nancy Ruffner founded NAVIGATE NC in 2013, motivated by a passion for social justice and an opportunity to work with marginalized populations who may not have a strong voice. As Nancy assisted her own parents to navigate the challenges that came with aging and chronic conditions, she recognized the gaping needs within the healthcare system. NAVIGATE NC has emerged as a fast-growing agency that serves clients and their families throughout North Carolina. Nancy’s focus as Founder and CEO is to ensure a continued commitment to unwavering respect, advocacy and hands-on support for every patient. Nancy enjoys provoking thought and guiding folks to create and implement a plan of action. Her antennae are always up with respect to advocacy for your family, education and awareness, and the chance to provide real solutions.


Sarah Straniero, Director of Case Management

Sarah Straniero

As the Director of Case Management, Sarah supports all field operations in North Carolina, working directly on the front lines alongside our Case Managers to ensure that they have the resources they need to best serve patients and their families. Sarah also holds the responsibility for recruiting, hiring and onboarding new Case Managers. Sarah brings extensive experience in all facets of the home care field, including housing, legal issues, family dynamics, long term care insurance, clinical documentation and medical records. She enjoys helping our clients and their families achieve their goals, especially in the face of complex health challenges. She holds a degree in Social Work with an emphasis on Ethnicity and Gerontology. She is trained to assist patients with conditions such as Alzheimers, dementia, Parkinson’s, stroke and heart disease.


NAVIGATE NC Case Manager, Monica HardisonMonica Hardison

As an RN Advocate, Monica Hardison works hands-on with our clients and their families to ensure quality medical care. Monica joined our team motivated by her passion for making a difference for others and helping the chronic and aging population find resources within their communities. Monica became a Registered Nurse in 2004 and has played the role of Healthcare Advocate throughout her career, initially entering the nursing field to provide comfort and support to those suffering from both acute and chronic conditions. Monica’s nursing experience includes acute cardiac care, hospice case management, wound care case management, hyperbaric medicine, and nursing education. She takes pride in the high professional standards of her field and has always sought to instill that professionalism in her students.


Meg WannemacherMeg Wannemacher

Professional Advocate Meg Wannemacher uses her experience to get results. As a physical therapist, and one who has worked in nationally recognized medical centers, Meg’s background in orthopedics, trauma, neurology, and memory disorders has prepared her to educate and guide clients with expertise and compassion. Having played an important role among doctors, nurses and social workers Meg assists our clients and their families to navigate a complex health system. When families are under pressure to make decisions, Meg assesses immediate and future needs to guide them through the process. As a Certified Aging-in-Place Specialist Meg will facilitate communication about how and where to keep a loved one safe. She finds her greatest satisfaction in educating those who wish to know, motivating those encountering change, and in promoting dignity for all involved.


Operations and Community

Stacy Edwards, Operations and Fulfillment Manager

Stacy Edwards

Stacy directs the flow of case management behind the scenes at NAVIGATE NC, ensuring swift follow-through and the application of consistent quality standards. Stacy’s role as the Operations and Fulfillment Manager is to oversee the operational systems that empower NAVIGATE NC to respond quickly when our clients need us, while leaving no small detail unmanaged. Stacy is always at the ready, providing the necessary support and resources for our personnel in the field. Stacy’s unruffled demeanor, systematic approach and thorough attention to detail allow us to deliver a high level of professional service to every client, especially when the need is immediate.



Dave Baldwin, Community Relations Manager

Dave Baldwin

Dave serves as the primary liaison between NAVIGATE NC and the community of health care professionals and other providers who assist patients and their families. Dave is responsible for identifying chronically unmet patient and family needs and the professionals best qualified to fill those gaps. As the Community Relations Manager, his role is to extend and enhance Navigate NC’s capability to deliver quality care by carefully identifying and vetting new partners. Dave has a passion for building communities and developing collaborative solutions.