ONCOLOGY NURSE NAVIGATOR & PRIVATE PATIENT ADVOCATE

Maui, Hawaii & Off-Island Care Coordination | From Pre-Screening Through Survivorship Support Through Every Stage of Care From Pre-Screening to Survivorship

Are you navigating a cancer diagnosis and in need of support accessing care, resources, and coordinated medical services—locally in Hawaii or off-island?

Private oncology nurse navigation and patient advocacy services are available for individuals and families throughout Maui County.

CLINICAL GUIDANCE. COORDINATED CARE. ADVOCACY ACROSS ISLANDS AND BEYOND.

As an Oncology Nurse Navigator and Certified Patient Advocate, I provide independent, private support to help you navigate the healthcare system with clarity, structure, and confidence.

This service supports patients from initial screening and diagnosis through treatment, off-island care coordination, and survivorship.

SERVING MAUI COUNTY, HAWAII & OFF-ISLAND PATIENTS

Healthcare in Hawaii often requires coordination beyond a single island, especially for specialty oncology and advanced treatment.

I support clients across:

  • Maui

  • Mainland U.S. treatment centers (off-island care)

This includes assistance for patients who must travel or temporarily relocate for treatment.

OFF-ISLAND CARE COORDINATION & TRAVEL SUPPORT

For patients requiring treatment outside their home island, I provide structured support for care transitions, including:

Treatment Access & Coordination

  • Identification of appropriate off-island treatment centers

  • Coordination of referrals and medical records transfer

  • Communication between local and mainland providers

  • Support with treatment planning and continuity of care

Travel, Airline & Logistics Support

  • Guidance for medical travel planning

  • Support coordinating travel timing around treatment schedules

  • Assistance identifying patient and caregiver travel logistics

  • Help navigating available medical travel support resources

Lodging & Temporary Care Needs

  • Support identifying lodging near treatment centers

  • Assistance locating short-term housing for patients and caregivers

  • Guidance for medical housing programs when available

  • Coordination of caregiver accommodations

Medication Copay & Financial Assistance Navigation

  • Assistance identifying copay support programs for medications

  • Guidance navigating pharmaceutical patient assistance programs

  • Support accessing financial assistance resources (when available)

  • Help reducing financial barriers related to oncology and chronic care medications

WHAT I HELP YOU WITH

Healthcare Navigation & Coordination

  • Oncology and chronic care system navigation

  • Coordination between providers and specialists

  • Inter-island and off-island care transitions

  • Reducing delays and communication gaps

Understanding Your Care

  • Clarifying diagnosis and treatment options

  • Translating medical information into clear understanding

  • Supporting informed decision-making with your care team

Access to Care & Support Services

  • Identifying gaps in care coordination

  • Insurance navigation and billing support

  • Copay assistance and medication financial support navigation

  • Connection to clinical, community, and support resources

WHY PRIVATE PATIENT ADVOCACY MATTERS

Cancer care is complex—especially in Hawaii, where geography and system limitations can create additional barriers.

Patients often face:

  • Inter-island or off-island care requirements

  • Fragmented communication between providers

  • Delays in treatment access

  • Medication cost and copay challenges

  • Insurance and financial stress

  • Emotional overwhelm during decision-making

Private advocacy helps bridge these gaps so you are not navigating the system alone.

INITIAL RETAINER-BASED SERVICES

Initial Course of Action Retainer – Sliding scale donation $500 - $750

This retainer establishes your personalized advocacy and care coordination plan.

Includes:

  • Comprehensive intake and healthcare system review

  • Assessment of diagnosis, care plan, and barriers

  • Identification of urgent priorities and next steps

  • Initial advocacy and coordination strategy

  • Support with provider communication and treatment planning

  • Guidance for local and off-island care navigation

  • Support identifying resource pathways including medication assistance programs

Ongoing support is available through customized retainer arrangements based on complexity and care needs.

CARE PHILOSOPHY

Every patient deserves:

  • Clear understanding of their care

  • Timely access to appropriate treatment

  • Coordinated communication between providers

  • Support in navigating financial and system barriers

  • Compassionate guidance through complex medical decisions

This service is:

  • Independent

  • Patient-centered

  • Clinically informed

  • Focused on clarity, access, and quality of life

COLLABORATIVE CARE APPROACH

I respect all disciplines of healthcare, including oncology specialists, primary care providers, and integrative care teams.

When appropriate, I collaborate with your medical team to support:

  • Safe and coordinated care

  • Clear communication between providers

  • Alignment of treatment plans

  • Continuity of care across islands and treatment locations

SCOPE OF PRACTICE

I do not provide medical diagnosis, treatment, or medical advice.

My role includes:

  • Patient education and support

  • Healthcare navigation and advocacy

  • Care coordination assistance

  • Insurance and resource navigation

  • Communication support between patients and healthcare systems

All medical decisions remain between you and your licensed healthcare providers.

PROFESSIONAL BACKGROUND

With over 30 years of clinical nursing experience, I specialize in:

  • Oncology nursing and cancer care navigation

  • Chronic care management

  • Healthcare system coordination (local and off-island)

  • Patient advocacy and clinical communication

As a Certified Patient Advocate Harold Freeman Institute and Oncology Nurse Navigator, I provide structured, compassionate, and clinically informed support through complex healthcare journeys.

SERVICES SUPPORT

This service helps you:

  • Understand your care with clarity

  • Reduce stress and overwhelm

  • Improve coordination between providers

  • Access treatment and support resources

  • Navigate medication cost and copay assistance programs

  • Manage both local and off-island care transitions

  • Make informed, confident healthcare decisions

  • YOU NEED A PATIENT ADVOCATE IF YOU:

    • are overwhelmed  navigating the healthcare system for you or your loved one

    • live far from family and need help accessing healthcare locally

    • have a chronic condition and a lengthy and complex medical history

    • need help learning about your cancer or diagnosis

    • need help to find a specialist or second opinion

    • are curious about participating in clinical trials

    • are considering end of life questions and would benefit from a facilitator to help you discuss your values with your loved ones

    • need care coordination of your appointments, and  transportation to appointments

    Christina Martini is an independent patient advocate , certified patient navigator through Harold Freeman Patient Navigator Institute who works for YOU rather than for an insurer or healthcare provider, eliminating potential conflicts of interest.  

    A patient advocate can serve as your single point of contact as you interact with a variety of healthcare professionals and facilities.

    No two patients are alike.  I work just for you and your unique needs. Patient advocates are your health care allies.

    Patient advocates DO NOT provide medical or legal services, and DO NOT take the place of your existing healthcare or law providers.

    Patient advocates simply help you to navigate these relationships by working with you AND your providers to achieve the very best outcomes possible.

  • I will prepare you to ask the right questions, at the right time, of the right providers.

    I’ll help direct you to specialists and second opinions, set up and coordinate visits, and help you digest what you learn. Help you to understand clearly the details of your diagnoses, medications, procedures, and plan of care , treatments and therapies.

    There’s a vast amount of information out there, and not all is reliable. I will help you sort through it for you and present it to you objectively so that you can make informed decisions.

    I’ll help you with medical literature to find both standard of care and potential research protocols that you can bring to your medical team.

    I can help you find possible clinical trials, provide documentation for your doctor, and help you get set up for studies. If the study you and your doctor are interested in is not local, I’ll contact the study team to see what resources are available for lodging and travel.

    I will help you with your organizing your healthcare data, help you to collect your medical records from all of your providers from as far back as we can retrieve data, so that you will have a single place for all of your records electronically or on paper as you wish.

    I’ll help you think through your Health Care Advance Directive, something every adult should have no matter their health status. 

  • Christina’s fees depend on your needs and situation. For most cases, your first fee is likely to be between $500-$750 which includes a complete history and review of your need for an advocate or navigator , plan and strategy discussion.

    The process starts with a free 30-minute introductory call to discuss your need and situation. If you're facing an urgent situation, Christina will call you as soon as possible instead of scheduling an appointment call, and determine how to assist you promptly.

    Except for urgent situations, our next step is an assessment call via FaceTime, zoom, google meet for 1 hr to 2 hr depending on the complexity of the case. If your need is simple, we can solve the issue within the one hour timeframe without an assessment .

    If the case needs to speak with your provider, care coordination, seek resources to access medications, care, treatments, etc., you will need to sign an authorization form and flat fee rate might be best for ongoing need for advocacy and navigation and You can ask questions and discuss concerns , You can always call Christina and reach out via text and email too.

  • Christina takes client privacy and confidentiality respectfully and seriously.

    While private advocates aren’t considered a covered entity in HIPAA law, Christina utilize a HIPAA-compliant email system.

    Christina restricts to the people who require the information (i.e., typically just the client and the advocate).

    All client information will be safely destroyed after three years of disengagement.