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Certification Criteria:

  • Must have an active RN license in good standing
  • Provide a copy of your curriculum vitae demonstrating current navigation employment and at least 3 years of direct navigation experience
  • Provide documentation verifying you have earned at least 15 CEUs in the last 12 consecutive months
  • Provide your current job description
  • Provide a reference letter signed by your employer verifying your role

Core Competencies for an Oncology Nurse Navigator–Certified Generalist: Community Outreach/Prevention

  • Finding community resources
  • Community needs assessment
  • Identification of barriers to care
  • Interventions to remove barriers to care
  • Community education prevention and screening
  • Population health
  • Risk assessment
  • Cultural competency
  • Behavior modification
  • Genetics

Coordination of Care/Care Transitions

  • Chronic Care Model (CCM)
  • Identification/intervention of clinical and service barriers to care
  • Patient care process/cancer care continuum (prevention/screening/risk assessment, diagnosis, clinical trials, treatment, survivorship/end-of-life care)
  • Patient/family center education (screening, diagnosis, treatment, side effects and management, survivorship/end of life)
  • Identify models of navigation
  • Cultural competency
  • Multidisciplinary approach to care
  • Tumor board
  • National Comprehensive Cancer Network (NCCN) guidelines (national guidelines)

Patient Advocacy/Patient Empowerment

  • Patient problem-solving
  • Engagement in decision-making tools
  • Relationship building/trust
  • Assisting the patient with the care team/communication
  • Counseling: conduit between patient and providers
  • Patient/family center education (assess educational needs)
  • Provide culturally sensitive care and education

Psychosocial Support Services/Assessment

  • Distress screening
  • Strategies for coping: disease, treatment, distress/anxiety
  • Referrals to psychosocial support/resources

Survivorship/End of Life

  • Goal-setting―life goals
  • Survivorship education: long-term/late effects
  • Care planning
  • Palliative care
  • Hospice

Professional Roles and Responsibilities

  • Critical thinking
  • Problem solving
  • Ethics
  • Team building
  • Leadership
  • History/evolution of navigation
  • Definition of navigation and types of navigators (community, lay, clinical navigator―RN/SW)
  • Tracking workload
  • Documentation

Operations Management

  • Healthcare reform
  • Utilization of resources
  • Workforce shortages
  • Organizational structure, mission, and vision
  • Organizational development
  • Healthcare economics

Quality and Performance Improvement

  • Value/role of nursing research to validate practice and build evidence-based practices
  • Research
  • Quality metrics (selection of metrics; develop, measure, and create dashboards)
  • Performance improvement (methodologies―Plan-Do-Study-Act [PDSA], SMART goals)
  • Role in identifying quality needs, areas of quality improvement
  • Role in improving the process

Willis A, Reed E, Pratt-Chapman M, et al. Development of a framework for patient navigation: delineating roles across navigator types. Journal of Oncology Navigation & Survivorship. 2013;4(6):20-26.

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