Mobile Nurse Practitioner (NP) – Endocrinology

Position Summary

The Mobile Nurse Practitioner (NP) – Endocrinology provides direct endocrine care to residents in Assisted Living, Memory Care, and Skilled Nursing settings throughout the East Valley. The provider will manage diabetes and other endocrine disorders with a strong emphasis on safety, coordination with facility staff, lab monitoring, and medication optimization in geriatric populations.

Primary ResponsibilitiesClinical Care

• Provide endocrine-focused assessments and ongoing management for:
• Diabetes (Type 1 and Type 2), insulin titration, oral agents, GLP-1/GIP agents
• Hypoglycemia/hyperglycemia prevention and treatment plans
• Thyroid disease (hypo/hyperthyroidism, nodules as appropriate)
• Dyslipidemia and metabolic syndrome (as related)
• Osteoporosis/bone health, vitamin D deficiency
• Weight-related endocrine conditions (as appropriate for geriatric populations)
• Review, interpret, and trend endocrine-related labs including:
• A1c, fasting glucose, BMP/CMP, lipid panel, urine microalbumin
• TSH/T4, vitamin D, calcium, renal function
• Adjust endocrine medications safely, accounting for:
• renal impairment, fall risk, appetite/weight changes
• polypharmacy and drug interactions
• facility administration and MAR accuracy
• Provide diabetic foot screening support and coordinate referrals as needed
• Collaborate with facility teams to ensure:
• blood glucose checks are ordered correctly
• insulin sliding scale protocols are clear
• hypoglycemia rescue orders (glucose gel, glucagon) are in place where appropriate
• dietary recommendations and meal timing are coordinated

Care Coordination

• Communicate with facility nursing, med techs, and family/POA as appropriate
• Coordinate with PCPs and specialists when needed
• Ensure smooth follow-up after ER visits related to glucose instability or endocrine complications

Documentation & Compliance

• Complete documentation within required timeframes (typically within 48 business hours)
• Provide clear written orders for insulin regimens, lab monitoring schedules, and follow-up
• Follow MGT MD at Home workflows:
• Acute Orders Queue for new/worsening symptoms (severe hypo/hyperglycemia, AMS)
• D/C Order Log for non-urgent medication discontinuations/coverage issues
• Schedule Notes for routine endocrine adjustments and follow-ups

Required Qualifications

• Active, unrestricted Arizona NP license
• National certification (AANP or ANCC)
• Minimum 2 years experience in endocrinology/diabetes management strongly preferred
• Familiarity with geriatric endocrine care and medication safety
• Strong clinical decision-making and excellent communication
• Reliable transportation for mobile visits in Mesa/East Valley
• Malpractice/professional liability insurance (or ability to obtain)

Preferred Experience

• Prior experience in AL/SNF/LTC, home-based care, or mobile medicine
• CGM review, insulin titration protocols, and geriatric diabetes management
• AHCCCS and Medicare familiarity
• Experience in preventing avoidable hospitalizations related to glucose instability

Compensation

Competitive 1099 compensation structured using a production-based model (monthly tiers) based on volume, payer mix, and documentation compliance. Opportunities to grow as patient panels expand.

How to Apply

Please submit:

• Resume/CV
• AZ license number + NPI
• Weekly availability + travel radius
• Malpractice COI (if available)

Pay: $90,000.00 - $120,000.00 per year

Benefits:

• Flexible schedule

Work Location: On the road