Endocrinology & Specialty Care Nurse Practitioner (APRN/FNP/AGNP)

Position Summary

The Endocrinology & Specialty Care Nurse Practitioner will provide comprehensive outpatient evaluation, diagnosis, treatment, and long-term management of patients with endocrine and metabolic disorders. The provider will collaborate with primary care providers and specialists to deliver individualized, evidence-based care while utilizing the latest clinical guidelines and technologies.

The ideal candidate is passionate about chronic disease management, patient education, preventive medicine, and improving long-term health outcomes.

Primary Responsibilities

The selected provider will independently evaluate, diagnose, treat, and manage patients with endocrine and metabolic disorders within the scope of Nevada APRN practice.

Responsibilities include, but are not limited to:

Diabetes Management

Evaluate and manage patients with:

• Type 1 Diabetes
• Type 2 Diabetes
• Prediabetes
• Gestational Diabetes (when appropriate)
• Insulin Resistance

Responsibilities include:

• Initiation and adjustment of insulin therapy
• Oral diabetic medication management
• GLP-1 receptor agonist therapy
• SGLT-2 inhibitor management
• Diabetes education
• Prevention of diabetic complications
• Individualized treatment planning
• Long-term disease management

Continuous Glucose Monitoring (CGM)

Manage and interpret Continuous Glucose Monitoring systems, including:

• Dexcom
• FreeStyle Libre
• Other FDA-approved CGM devices

Responsibilities include:

• CGM interpretation
• Glycemic trend analysis
• Medication adjustments
• Patient education
• Device troubleshooting
• Ongoing glucose management

Insulin Pump Management

Evaluate and manage patients utilizing insulin pump therapy, including:

• Omnipod
• Tandem
• Medtronic
• Other FDA-approved insulin pump systems

Responsibilities include:

• Pump initiation
• Basal and bolus adjustments
• Device education
• Troubleshooting
• Follow-up management

Thyroid Disorders

Evaluate and manage patients with:

• Hypothyroidism
• Hyperthyroidism
• Hashimoto's Thyroiditis
• Graves' Disease
• Thyroid Nodules
• Thyroiditis
• Goiter

Responsibilities include:

• Laboratory interpretation
• Medication management
• Thyroid hormone replacement therapy
• Imaging review
• Referral coordination when indicated

Osteoporosis & Bone Health

Provide evaluation and treatment for:

• Osteoporosis
• Osteopenia
• Vitamin D Deficiency
• Calcium Disorders

Responsibilities include:

• DEXA scan interpretation
• Fracture risk assessment
• Medication management
• Nutritional counseling
• Long-term monitoring

Metabolic Disorders

Evaluate and manage patients with:

• Metabolic Syndrome
• Dyslipidemia
• Obesity-related endocrine disorders
• Insulin Resistance
• Endocrine-related hypertension

Laboratory & Diagnostic Evaluation

Order, interpret, and manage:

• Complete Blood Count (CBC)
• Comprehensive Metabolic Panel (CMP)
• Hemoglobin A1c
• Lipid Panel
• Thyroid Function Tests (TSH, Free T4, Free T3)
• Thyroid Antibodies
• Vitamin D
• Vitamin B12
• Iron Studies
• Cortisol
• ACTH
• Testosterone
• Estradiol
• FSH/LH
• Insulin Levels
• C-Peptide
• Additional endocrine laboratory testing as clinically indicated

Patient Education

Provide education regarding:

• Diabetes self-management
• Nutrition
• Exercise
• Lifestyle modification
• Medication adherence
• Insulin administration
• Continuous glucose monitoring
• Prevention of disease complications

Documentation

• Complete accurate and timely Electronic Medical Record (EMR) documentation
• Maintain compliance with organizational, state, federal, and payer requirements
• Ensure appropriate coding and clinical documentation standards

Qualifications

• Active Nevada APRN License
• National Board Certification (FNP, AGNP, Adult NP, or Adult-Gerontology NP)
• Current DEA Registration (or eligibility to obtain)
• Current BLS Certification
• Strong clinical assessment and diagnostic skills
• Excellent communication and patient education skills
• Proficiency with Electronic Medical Records (EMR)

Preferred

• Experience in Endocrinology
• Experience managing diabetes
• Experience interpreting Continuous Glucose Monitoring (CGM) data
• Experience managing insulin pump therapy
• Familiarity with ADA, AACE, and Endocrine Society clinical practice guidelines
• Experience treating thyroid disorders and osteoporosis
• Bilingual (English/Spanish) preferred