Assessing and Addressing Follow-up Care Needs That Will Facilitate Care Transitions for Cancer Survivors

Primary Objective: Pilot and qualitatively assess the acceptability of SHAREDCare through semi- structured interviews Secondary Objectives: * Describe quantitative assessments of intervention acceptability, appropriateness, and feasibility. * Describe survivor level of unmet needs13 using a validated measure to collect data before and/or after completion of the SHAREDCare intervention. * Track clinical referrals and other actions made as a result of patient responses on the Electronic Distress Screening (EDS) and the percentage of referrals that have been "completed" (i.e. those referrals where a patient completed the relevant medical or social needs-related visit). * Track recruitment, assessment completion, and any related adverse events. OUTLINE: Patients receive a SHAREDCare call with a navigator to discuss identified distress and social needs and develop/deploy a shared response plan to address identified needs on study. Patients also receive standard of care automated referrals on study. Two weeks following the initial call, patients receive a second SHAREDCare call with a navigator to follow-up on the shared response plan. After completion of study intervention, patients are followed up 4 weeks after initial call.