Advanced Practice Nurse - Endocrinology/Diabetic Educator

Advanced Practice Nurse - Endocrinology/Diabetic Educator

Department: Department of Veterans Affairs

Location(s): Fayetteville, North Carolina

Salary Range: $136806 - $198444 Per Year

Job Summary: This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Major Duties:

• The Advanced Practice Nurse - Endocrinology/Diabetic Educator is a Nurse Practitioner (NP) who provides comprehensive, patient-centered care for Veterans with diabetes and related endocrine disorders. The incumbent functions with a high degree of clinical autonomy and is responsible for assessment, diagnosis, treatment, and management of complex diabetes cases. The NP integrates clinical expertise with patient education, population health strategies, and interdisciplinary collaboration to improve glycemic control, reduce complications, and enhance quality of life. The role includes direct patient care, diabetes self-management education, staff training, and program development consistent with VHA mission and performance measures. Duties and Responsibilities include but are not limited to the following: Performs comprehensive history and physical examinations with emphasis on endocrine and metabolic conditions. Diagnoses and manages acute and chronic diabetes conditions, including Type 1, Type 2, and complex insulin-dependent cases. Develops and implements individualized treatment plans, including pharmacologic and non-pharmacologic interventions. Prescribes and adjusts medications, including insulin regimens, GLP-1 receptor agonists, and other antihyperglycemic agents in accordance with VA privileging. Orders and interprets diagnostic and laboratory studies relevant to endocrine disorders. Manages diabetes-related complications, including neuropathy, nephropathy, and cardiovascular risk factors. Provides care coordination across inpatient, outpatient, and specialty services. Provides structured diabetes self-management education (DSME) to Veterans and caregivers. Educates patients on glucose monitoring, insulin administration, nutrition, exercise, and lifestyle modification. Promotes adherence to treatment plans and facilitates behavior change using evidence-based strategies. Assesses health literacy and adapts education to meet individual Veteran needs. Supports use of diabetes technologies, including continuous glucose monitors (CGMs) and insulin pumps where applicable. Participates in population health initiatives targeting improved glycemic control and reduction of diabetes-related complications. Utilizes data dashboards and registries to identify high-risk patients and implement proactive interventions. Supports performance improvement initiatives aligned with VHA quality metrics (e.g., HbA1c control, complication prevention). Assists in development, implementation, and evaluation of diabetes management programs within the Endocrinology Service. Collaborates with endocrinologists, primary care providers, pharmacists, dietitians, and nursing staff to optimize patient outcomes. Provides consultation to other services regarding diabetes management. Participates in case conferences, care planning meetings, and interdisciplinary rounds. Serves as a clinical resource and educator for nursing staff, providers, and trainees regarding diabetes care. Develops and delivers educational programs on diabetes management and endocrine disorders. Precepts nursing students, nurse practitioner students, and other trainees as appropriate. Participates in quality assurance and performance improvement activities. Ensures compliance with VHA policies, clinical practice guidelines, and accreditation standards. Contributes to development of clinical protocols and standard operating procedures. Maintains accurate and timely documentation in the electronic health record in accordance with VHA policy. Incorporates evidence-based practice into clinical care and education. Participates in research and program evaluation activities as appropriate. Supports implementation of best practices in diabetes and endocrine care. Preferred Experience: Specialized experience in diabetes management and endocrinology. Certification as a Diabetes Care and Education Specialist (CDCES). Experience with insulin pumps, continuous glucose monitors (CGMs), and advanced diabetes therapies. Compressed/Flexible: NOT Available Telework: NOT Available Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP Coordinator, Rachelle.Shorter@va.gov, for questions/assistance. Learn more Relocation/Recruitment Incentives: NOT Authorized Permanent Change of Station (PCS): NOT Authorized

Qualifications: Advanced Practice Nurse (APN)/Nurse Practitioner (NP) Basic Requirements Citizenship: Citizenship of the United States in accordance with 38 U.S.C. 7402(c). Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. (Applicants pending the completion of educational requirements may be referred and tentatively selected but may not be hired until the education requirements are met.) Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). NOTE: Graduates of foreign schools of professional nursing programs, the nurse practitioner degree equivalency must be validated through an Agency recognized degree equivalency evaluation agency, such as the International Consultants of Delaware (ICD). Candidates with equivalent nurse practitioner masters or doctorate level degrees who possess current, full, active, and unrestricted registration and certification will meet the requirement of graduation from an approved school of professional nursing to warrant appointment. Licensure: All APNs/NPs must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Exception to Licensure for Graduate Nurse Technician (GNT): Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) Basic Board Certification: All APNs must maintain full and current board certification in an area of clinical specialty from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared. Grandfathering Provision: All persons currently employed in VHA in 0610 series and an APN (NP) assignment that are also performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) II: Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others Education and Experience Requirement: Meets basic education requirement for APN (NP). Nurse II is considered the entry grade level for APN (NPs); no experience is required. Dimension Requirement: APNs (NPs) at level II are expected to meet the following dimension requirements: Clinical Practice. Delivers evidence-based health care, demonstrating proficiency in the ability to manage a patient panel, population, or program. Outcome Focus. Utilizes research and evidence-based practice to evaluate the patient care delivery system within a patient panel or program, presents findings and contributes to changes that enhance the quality and timeliness of veteran/patient care. Leadership. Works effectively as a leader within a team/unit/group and seeks interdisciplinary collaboration as appropriate to enhance patient care. Professional Development. Acquires knowledge and skills to develop expertise in area of practice. Professionalism/Collegiality. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork. Participates in interdisciplinary teams and processes that positively impact patient outcomes. The following Scope, Education and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Nurse Practitioner) III: Scope: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Education and Experience Requirement: Meets basic education requirement for an APN (NP) AND one year of specialized APN (NP) experience equivalent to the Nurse II grade level. Dimension Requirement: APN (Nurse Practitioners) at grade III are expected to meet the following dimension requirements: Clinical Practice. Influences and models the delivery of evidence- based health care, demonstrating expertise in the ability to manage a patient panel, population, or program. Outcome Focus. Leads and implements changes that enhance the quality and timeliness of Veteran/patient care applying research and evidence in the delivery of healthcare for patient populations. Leadership. Initiates and leads interdisciplinary teams informed by structured approaches and processes to improve outcomes that positively impact care for a patient panel, population, or program. Professional Development. Acquires knowledge and skills, then disseminates acquired information within and/or outside the medical facility. Professionalism/Collegiality. Initiates and leads interdisciplinary teams developing systems that positively impact outcomes at the panel, population, or program level. Demonstrates effective communication skills and professional behavior, promoting cooperation and teamwork Physical Requirements: The position requires moderate lifting, walking, standing, and the ability to perform clinical duties consistent with patient care responsibilities. Exerting up to 50 pounds of force occasionally and/or up to 25 pounds of force frequently to move objects. This could include moving objects such as pieces of equipment and assistance in moving clients. Works with critically ill patients and may observe patients suffering. Requires the ability to read printed material and distinguish colors, such as reading doctor's orders and visualizing the hue of patient's skin, wounds, etc. Ability to conduct visual inspections during patient assessment. Ability to accurately read measurements on patient-related equipment; examples include thermometers, mechanical gauges, IV pumps, computer monitors, etc. Ability to accurately perceive depth to move around workspace safely and to appropriately contact patients and staff. Ability to adapt to successfully perform in high stress environments with constant interruptions, emergency/critical/unusual situations, high volume urgency of issues, and interactions with a wide variety of professionals and personalities as a member of a multidisciplinary team.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 05/19/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12944186. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Application Deadline: 2026-05-19