Navigator Certification Application

CONTACT INFORMATION

Name*

First Last

Professional Credentials, Certifications, Licensing*

Professional Title

Facility Name

Facility Department

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How did you hear about the NCBC Navigator Certification?

LOCATION

Online Exam through NCBC Moodle school platform and Proctored by Examity

Choose Your Exam Date Window*

Online Exam - September 1st - September 30th, 2022

Questions:
574-401-8113
Certifications Manager
Aerial Gilbert Aerial@breastcare.org

CERTIFICATION PROGRAM CRITERIA FOR APPLICATION CONSIDERATION

APPLYING FOR CERTIFICATION IN

BHCN
Management/Social Worker
Advocate

DESCRIPTIONS OF AVAILABLE CERTIFICATIONS

BHCN = Breast Health Clinical Navigator (All Licensed healthcare professionals (i.e., all nurses, all technologists) – this test was previously the CN-BN, CN-BI, CN-BP, and CN-BC)

CN-BM = Certified Navigator- Breast Management (All Social Workers and Managers of Navigators)

CN-BA = Certified Navigator – Breast Advocate (All Volunteer/Lay Navigators)

*PROOF OF LICENURE IS REQUIRED EXCEPT FOR ADVOCATES

CHOOSE ONE

Breast specific navigation is at least 25% (500 hours) of my job responsibility.
I supervise breast patient navigators.

I have six months or more experience navigating breast patients or 3 months of experience and a certificate of attendance at a Breast Patient Navigator training.*

check box

Length of time I have been navigating patients.

NCBC NAVIGATOR PROGRAM UNDERSTANDING AGREEMENT

I understand that this is a Certification, where my skills and knowledge as a Breast Patient Navigator will be validated by obtaining a minimum score of 81% on the examination to be certified as a Breast Patient Navigator. I have read and understand the NCBC Certification Exam Security & Test Policies protocol (CLICK HERE FOR DOCUMENT). I further understand this is a certification and not an educational course. Handbook will be sent via e-mail if registered at least 10 days prior to certification exam date.

Once you have received the handbook the registration fee becomes non-refundable.

SIGNATURE*

DATE

Navigator Certification Application

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$0.00

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CONTACT INFORMATION

LOCATION

CERTIFICATION PROGRAM CRITERIA FOR APPLICATION CONSIDERATION

NCBC NAVIGATOR PROGRAM UNDERSTANDING AGREEMENT

BPNC Certification