Ask yourself what do you need. If your bouyancy control is excellent, you might not need a course on that.
Obviously Rescue is good to have.
I would agree with many that navigation is useful, often when you wouldn't think you would need it.
Recently I was diving out of Phuket, Thailand. Warm tropical water, good vis, moderate current, DM leading our group. No problem, right? We were going in at one pinnacle, crossing some open sandy bottom and getting picked up at another pinnacle some distance away. Getting in the water, our DM and most of our group got into the water, then some divers from another group got in front of my buddy and I, messed around with their gear, then decided not to dive for some reason. The DM we were supposed to follow took off without my buddy and I. By the time we got in the water, there were no other divers in sight, and our boat was pulling away to go to the pickup location. Thank goodness I had paid attention during the dive briefing and knew what direction the other pinnacle was in. I had my wrist compass, not because I thought I would need it, but out of habit.
So after spending some time around the first pinnacle, I took a heading, corrected for the modest current, and set off across the sand flats. My buddy was looking a bit concerned as we swam out of sight of the first pinnacle. But after a few minutes, the other pinnacle came into view, we explored that for awhile and came up near our boat. My dive buddy thought I was a genius! Haha. Had we gotten lost, it would only have been inconvenient, not life threatening, but I was still very happy I knew how to navigate.
By the way, I have never taken a PADI Nav course.
I am a private pilot, and learned to navigate in my plane with just a map, stopwatch and compass. The same methods work underwater, thank goodness!