Patient navigation job roles by levels of experience: Workforce Development Task Group, National Navigation Roundtable
Abstract
Plain Language Summary: Cancer patient navigators work in diverse settings ranging from community‐based programs to comprehensive cancer centers to improve outcomes in underserved populations by eliminating barriers to timely cancer prevention, early detection, diagnosis, treatment, and survivorship in a culturally appropriate and competent manner. This article clarifies the roles and responsibilities of Entry, Intermediate, and Advanced level cancer patient navigators. The competencies described in this article apply to patient navigators, nurse navigators, and social work navigators. This article provides a resource for administrators to create job descriptions for navigators with specific levels of expertise and for patient navigators to advance their oncology careers and attain a higher level of expertise.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Evidence from systematic and implementation studies demonstrates that navigation programs can improve treatment initiation, adherence, and patient satisfaction, particularly in underserved populations.
“Evidence from systematic and implementation studies demonstrates that navigation programs can improve treatment initiation, adherence, and patient satisfaction, particularly in underserved populations [24–26].”
From A decision-oriented framework for genomic testing across the prostate cancer continuum (2026) · cites this paper as [26]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
No references could be resolved yet.
Research works printed but not linked: 48
- Freeman HP. Patient navigation: a community centered approach to reducing cancer mortality. J Cancer Educ. 2006;21(1 Suppl):S11-S14. doi:10.1207/s15430154jce2101s_4 · DOI
- Valverde PA, Burhansstipanov L, Patierno S, et al. Findings from the National Navigation Roundtable: a call for competency-based pa- tient navigation training. Cancer. 2019;125(24):4350-4359. doi:10. 1002/cncr.32470 · DOI
- Natale-PereiraEnard AKR, Nevarez L, Jones LA. The role of patient navigators in eliminating health disparities. Cancer. 2011;117(S15): 3541-3550. doi:10.1002/cncr.26264 · DOI
- Dixit N, Rugo H, Burke NJ. Navigating a path to equity in cancer care: the role of patient navigation. Am Soc Clin Oncol Educ Book. 2021;41:1-8. doi:10.1200/EDBK_100026 · DOI
- National Navigation Roundtable Policy Task Force. Patient naviga- tion in cancer care: review of payment models for a sustainable future. National Navigation Roundtable; 2019. Accessed November 9, 2021. http://navigationroundtable.org/wp-content/uploads/ Patient-Navigation-in-Cancer-Care-Review-of-Payment-Models_ FINAL.pdf
- Gunn C, Battaglia TA, Parker VA, et al. What makes patient navi- gation most effective: defining useful tasks and networks. J He- alth Care Poor Underserved. 2017;28(2):663-676. PMID: 28529216. doi:10.1353/hpu.2017.0066 · DOI
- Krebs LU, Burhansstipanov L, Watanabe-Galloway S, Pingatore NL, Petereit DG, Isham D. Navigation as an intervention to eliminate disparities in American Indian communities. Semin Oncol Nurs. 2013;29(2):118-127. doi:10.1016/j.soncn.2013.02.007 · DOI
- Louart S, Bonnet E, Ridde V. Is patient navigation a solution to the problem of "leaving no one behind"? A scoping review of evidence from low-income countries. Health Pol Plann. 2021;36(1):101-116. doi:10.1093/heapol/czaa093 · DOI
- Louart S, Bonnet E, Kadio K, Ridde V. How could patient navigation help promote health equity in sub-Saharan Africa? A qualitative study among public health experts. Glob Health Promot. 2021; 28(1_Suppl l):75-85. doi:10.1177/1757975920980723 · DOI
- Parry J, Vanstone M, Grignon M, Dunn JR. Primary care-based in- terventions to address the financial needs of patients experiencing poverty: a scoping review of the literature. Int J Equity Health. 2021;20(1):219. doi:10.1186/s12939-021-01546-8 · DOI
- Braun KL, Kagawa-Singer M, Holden AE, et al. Cancer patient navigator tasks across the cancer care continuum. J Health Care Poor Underserved. 2012;23(1):398-413. doi:10.1353/hpu.2012.0029 · DOI
- Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art or is it science? Cancer. 2008;113(8):1999-2010. doi:10. 1002/cncr.23815 · DOI
- Wilcox B, Bruce SD. Patient navigation: a "win-win" for all involved. Oncol Nurs Forum. 2010;37(1):21-25. doi:10.1188/10.ONF.21-25 · DOI
- Harjo LD, Burhansstipanov L, Lindstrom D. Rationale for "cultural" native patient navigators in Indian country. J Cancer Educ. 2014; 29(3):414-419. doi:10.1007/s13187-014-0684-0 · DOI
- Tang KL, Kelly J, Sharma N, Ghali WA. Patient navigation pro- grams in Alberta, Canada: an environmental scan. CMAJ Open. 2021; 9(3):E841-E847. Published 2021 Sep 7. doi:10.9778/cmajo. 20210004 · DOI
- Doucet S, Luke A, Splane J, Azar R. Patient navigation as an approach to improve the integration of care: the case of NaviCare/ SoinsNavi. Int J Integrated Care. 2019;19(4):7. doi:10.5334/ijic.4648 · DOI
- Reid AE, Doucet S, Luke A, Azar R, Horsman AR. The impact of patient navigation: a scoping review protocol. JBI Database System Rev Implement Rep. 2019;17(6):1079-1085. doi:10.11124/JBISRIR- 2017-003958 · DOI
- Carter N, Valaitis RK, Lam A, Feather J, Nicholl J, Cleghorn L. Na- vigation delivery models and roles of navigators in primary care: a scoping literature review. BMC Health Serv Res. 2018;18(1):96. doi:10.1186/s12913-018-2889-0 · DOI
- McBrien KA, Ivers N, Barnieh L, et al. Patient navigators for people with chronic disease: a systematic review. PLoS One. 2018;13(2): e0191980. doi:10.1371/journal.pone.0191980 · DOI · Paper page
- Peart A, Lewis V, Brown T, Russell G. Patient navigators facilitating access to primary care: a scoping review. BMJ Open. 2018;8(3): e019252. doi:10.1136/bmjopen-2017-019252 · DOI
- Matousek AC, Addington SR, Kahan J, et al. Patient navigation by community health workers increases access to surgical care in rural Haiti. World J Surg. 2017;41(12):3025-3030. doi:10.1007/s00268- 017-4246-6 · DOI
- Valaitis RK, Carter N, Lam A, Nicholl J, Feather J, Cleghorn L. Implementation and maintenance of patient navigation programs linking primary care with community-based health and social ser- vices: a scoping literature review. BMC Health Serv Res. 2017;17(1): 116. doi:10.1186/s12913-017-2046-1 · DOI
- dela Riva EE, Hajjar N, Tom LS, Phillips S, Dong X, Simon MA. Pro- viders' views on a community-wide patient navigation program: implications for dissemination and future implementation. Health Promot Pract. 2016;17(3):382-390. doi:10.1177/152483991662 8865 · DOI
- Ko NY, Snyder FR, Raich PC, et al. Racial and ethnic differences in patient navigation: results from the Patient Navigation Research Program. Cancer. 2016;122(17):2715-2722. doi:10.1002/cncr.30109 · DOI
- Freund KM, Battaglia TA, Calhoun E, et al. Impact of patient navi- gation on timely cancer care: the Patient Navigation Research Pro- gram. J Natl Cancer Inst. 2014;106(6):dju115. doi:10.1093/jnci/ dju115 · DOI
- Ferrante JM, Chen PH, Kim S. The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2008;85(1):114-124. doi:10.1007/s11524-007- 9228-9 · DOI
- Robinson-White S, Conroy B, Slavish KH, Rosenzweig M. Patient navigation in breast cancer: a systematic review. Cancer Nurs. 2010;33(2):127-140. doi:10.1097/NCC.0b013e3181c40401 · DOI
- Braun KL, Thomas WL Jr, Domingo JL, et al. Reducing cancer screening disparities in medicare beneficiaries through cancer pa- tient navigation. J Am Geriatr Soc. 2015;63(2):365-370. doi:10.1111/ jgs.13192 · DOI
- Ladabaum U, Mannalithara A, Jandorf L, Itzkowitz SH. Cost- effectiveness of patient navigation to increase adherence with screening colonoscopy among minority individuals. Cancer. 2015; 121(7):1088-1097. doi:10.1002/cncr.29162 · DOI
- Taylor VM, Hislop TG, Jackson JC, et al. A randomized controlled trial of interventions to promote cervical cancer screening among Chinese women in North America. J Natl Cancer Inst. 2002;94(9): 670-677. doi:10.1093/jnci/94.9.670 · DOI
- Wang ML, Gallivan L, Lemon SC, et al. Navigating to health: evaluation of a community health center patient navigation pro- gram. Prev Med Rep. 2015;2:664-668. doi:10.1016/j.pmedr.2015. 08.002 · DOI
- Roland KB, Milliken EL, Rohan EA, et al. Use of community health workers and patient navigators to improve cancer outcomes among patients served by federally qualified health centers: a systematic literature review. Health Equity. 2017;1(1):61-76. doi:10.1089/heq. 2017.0001 · DOI
- Freeman HP, Rodriguez RL. History and principles of patient navi- gation. Cancer. 2011;117(15 suppl):3539-3542. doi:10.1002/cncr. 26262 · DOI · Paper page
- Jean-Pierre P, Cheng Y, Wells KJ, et al. Satisfaction with cancer care among underserved racial-ethnic minorities and lower-income patients receiving patient navigation. Cancer. 2016;122(7):1060- 1067. doi:10.1002/cncr.29902 · DOI
- Darnell JS. Navigators and assisters: two case management roles for social workers in the Affordable Care Act. Health Soc Work. 2013;38(2):123-126. doi:10.1093/hsw/hlt003 · DOI
- Chowdhury AM. Rethinking interventions for women's health. Lan- cet. 2007;370(9595):1292-1293. doi:10.1016/S0140-6736(07) 61554-2 · DOI
- Enard KR, Ganelin DM. Reducing preventable emergency depart- ment utilization and costs by using community health workers as patient navigators. J Healthc Manag. 2013;58(6):412-428. doi:10. 1097/00115514-201311000-00007 · DOI
- Horyna TJ, Jimenez R, McMurry L, Buscemi D, Cherry B, Seifert CF. An evaluation of interprofessional patient navigation services in high utilizers at a county tertiary teaching health system. J Healthc Manag. 2020;65(1):62-70. doi:10.1097/JHM-D-19-00123 · DOI
- Thompson MP, Podila PSB, Clay C, et al. Community navigators reduce hospital utilization in super-utilizers. Am J Manag Care. 2018;24(2):70-76.
- Seaberg D, Elseroad S, Dumas M, et al. Patient navigation for pa- tients frequently visiting the emergency department: a randomized, controlled trial. Acad Emerg Med. 2017;24(11):1327-1333. doi:10. 1111/acem.13280 · DOI
- Li Y, Carlson E, Villarreal R, Meraz L, Pagán JA. Cost-effectiveness of a patient navigation program to improve cervical cancer screening. Am J Manag Care. 2017;23(7):429-434.
- Shih YC, Chien CR, Moguel R, Hernandez M, Hajek RA, Jones LA. Cost-effectiveness analysis of a capitated patient navigation pro- gram for medicare beneficiaries with lung cancer. Health Serv Res. 2016;51(2):746-767. doi:10.1111/1475-6773.12333 · DOI
- Bensink ME, Ramsey SD, Battaglia T, et al. Costs and outcomes evaluation of patient navigation after abnormal cancer screening: evidence from the Patient Navigation Research Program. Cancer. 2014;120(4):570-578. doi:10.1002/cncr.28438 · DOI
- Dwyer AJ, Wender RC, Weltzien ES, et al. Collective pursuit for equity in cancer care: the National Navigation Roundtable. Cancer. 2022;128(Suppl 13):2561-2567. doi:10.1002/cncr.34162 · DOI
- Fleisher L, Miller SM, Crookes D, et al. Implementation of a theory- based, non-clinical patient navigator program to address barriers in an urban cancer center setting. J Oncol Navig Surviv. 2012;3(3):14-23.
- Moy B, Chabner BA. Patient navigator programs, cancer disparities, and the patient protection and affordable care act. Oncologist. 2011;16(7):926-929. doi:10.1634/theoncologist.2011-0140 · DOI
- Valverde PA, Kennedy Sheldon L, Gentry S, Dwyer AJ, Saavedra Ferrer EL, Wightman PD. Flexibility, adaptation, and roles of patient navigators in oncology during COVID-19. Cancer. 2022;128(suppl 13):2610-2622. doi:10.1002/cncr.33962 · DOI
- Wells KJ, Dwyer AJ, Calhoun E, Valverde PA. Community health workers and non-clinical patient navigators: A critical COVID-19 pandemic workforce. Prev Med. 2021;146:106464. doi:10.1016/j. ypmed.2021.106464 · DOI
Cited by
Sorted by citations
A decision-oriented framework for genomic testing across the prostate cancer continuum
Cobran, E. K., Samadder, N. J., Schaid, D. J., Conti, D. V., Haiman, C., Vargas, L., Gionfriddo, M. R., & Tilburt, J. C. (2026) · Cancer Genetics · doi:10.1016/j.cancergen.2026.06.002 · Cited by 1 · see citing works
- Authors
- Varanasi, A. P., Burhansstipanov, L., Dorn, C., Gentry, S., Capossela, M. A., Fox, K., Wilson, D., Tanjasiri, S., Odumosu, O., & Saavedra Ferrer, E. L.
- Affiliations
- Advancing Synergy Baltimore Maryland USA
- Native American Cancer Initiatives, Inc. (NACI) Pine Colorado USA
- National Association of Social Workers Washington DC USA
- Academy of Oncology Nurse and Patient Navigators (AONN+) Lewisville North Carolina USA
- American Cancer Society Framingham Massachusetts USA
- Patient Navigation, Education and Training Susan G. Komen Foundation Allen Texas USA
- HCA Henrico Doctors' Hospital/Virginia Cancer Patient Navigator Network (VaCPNN) Midlothian Virginia USA
- Department of Health, Society and Behavior University of Irvine Irvine California USA
- Amorvard Services Lagos Nigeria
- College of Education and Human Sciences University of New Mexico Albuquerque New Mexico USA
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2024-02-02
- Volume
- 130
- Issue
- 9
- Pages
- 1549-1567
- ISSN
- 0008-543X
- 1097-0142
- Cited by
- 22
- References
- 0
- Language
- en
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review