Objective To conduct a scoping review of studies related to the application of patient navigation in home rehabilitation for stroke patients, and to provide a reference for future clinical implementation. Methods Using the JBI guidelines for scoping reviews as the methodological framework, relevant studies in domestic and international databases such as PubMed, Web of Science, Embase, Cochrane Library, CINAHL,China National Knowledge Infrastructure (CNKI), SinoMed, Wanfang Data, VIP Database were searched from the establishment to May 12, 2024, and the included literature was summarized and analyzed. Results A total of 19 articles were included. The included literature primarily involved professional navigators and/or non-professional navigators providing 4 aspects of navigation services, namely, care coordination, education and guidance, emotional support, and financial support for the stroke patients undergoing home rehabilitation. The forms of service delivery included telephone, e-mail, home visits, and online platforms, and the ultimate outcome indicators were patient evaluation, caregiver evaluation, and social benefit evaluation. Conclusion Patient navigation has shown positive effects and good outcomes in the home rehabilitation of stroke patients. In the future, it is necessary to continuously improve the collaborative management system of the home rehabilitation for stroke patients, fully leverage the advantages of artificial intelligence and internet technology, break the information silos in the traditional medical system, and build a localized patient navigation model for home rehabilitation of stroke patients, so as to improve the long-term life outcomes of stroke patients.