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

About Us

Med-Care Providers is a patient-centered medical practice committed to delivering high-quality primary and specialty care across Nevada. We combine clinical excellence with innovative care models, including in-office, telehealth, and community-based services. Our mission is to improve access, outcomes, and patient experience through compassionate, evidence-based medicine. We foster a collaborative environment where providers and staff are empowered to deliver exceptional care while continuing to grow professionally.

About the Role

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.

Responsibilities

• 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

Required:

• 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