We are expanding our behavioral health services and are seeking a compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with psychiatric experience to provide on-site psychiatric care within skilled nursing facilities throughout Columbia County and Ulster County, New York .
This is an exceptional full-time opportunity for clinicians who are passionate about serving an often-overlooked patient population while building a rewarding long-term career in geriatric behavioral health. Whether you are looking to transition into a mission-driven practice or advance your psychiatric career within a growing organization, this position offers the autonomy, professional support, and clinical resources needed to succeed.
Working in the skilled nursing setting allows providers to make a measurable difference in the lives of residents whose psychiatric needs often go untreated or undertreated. You'll become a valued clinical partner within each facility, helping residents achieve greater emotional stability, improved quality of life, and enhanced overall well-being.
Why Providers Choose Our Organization
• Full-time Monday through Friday schedule supporting a healthy work-life balance
• Opportunity to serve an underserved geriatric population where your expertise has a lasting impact
• Practice independently while receiving ongoing support from experienced psychiatric leadership
• Industry-leading clinical onboarding, mentorship, and continuing education designed to strengthen your psychiatric expertise
• Exposure to complex psychiatric, cognitive, and neurobehavioral conditions that enhance long-term clinical growth
• Strong compensation package with excellent income potential for part-time hours
• Stable daytime schedule with predictable workflow
• Collaborative relationships with physicians, nursing leadership, rehabilitation teams, and interdisciplinary clinicians
• Opportunities to expand into additional facilities as desired
• Long-term career growth within a rapidly expanding behavioral health organization committed to developing its providers
Requirements
• Complete comprehensive psychiatric evaluations, behavioral health consultations, and diagnostic assessments for adult and geriatric residents
• Establish psychiatric diagnoses and formulate evidence-based treatment plans tailored to each resident's behavioral, emotional, medical, cognitive, and psychosocial needs
• Provide ongoing psychopharmacology management, including initiating, adjusting, monitoring, and optimizing psychiatric medications
• Evaluate behavioral disturbances associated with dementia, depression, anxiety disorders, bipolar disorder, schizophrenia, psychotic disorders, sleep disorders, personality disorders, adjustment disorders, and chronic mental illness
• Assess residents experiencing cognitive decline, mood instability, agitation, aggression, hallucinations, or other neuropsychiatric symptoms
• Collaborate with attending physicians, nursing staff, therapists, rehabilitation professionals, social workers, case managers, and facility leadership to coordinate comprehensive behavioral healthcare
• Participate in interdisciplinary treatment planning and provide recommendations that improve resident outcomes while promoting behavioral stability
• Educate residents, family members, guardians, and facility staff regarding psychiatric diagnoses, medication management, behavioral interventions, and realistic treatment expectations
• Identify opportunities for early psychiatric intervention that help reduce unnecessary emergency department visits, psychiatric admissions, and avoidable hospital transfers
• Maintain timely, organized, and compliant documentation consistent with state, federal, facility, and organizational standards
• Promote a compassionate, resident-centered approach that emphasizes dignity, respect, safety, and continuity of psychiatric care
Qualifications
• Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) or Physician Assistant with significant psychiatric experience
• Active and unrestricted New York license
• DEA registration or ability to obtain
• Strong knowledge of psychiatric assessment, diagnosis, psychopharmacology, and treatment planning
• Ability to independently manage a psychiatric caseload while collaborating effectively with interdisciplinary healthcare teams
• Previous experience in psychiatry, behavioral health, skilled nursing, long-term care, rehabilitation, geriatrics, or post-acute care preferred
• Experience managing dementia-related behaviors, mood disorders, anxiety disorders, psychosis, chronic psychiatric illness, and medically complex patients preferred
• Excellent communication, organizational, clinical reasoning, and relationship-building skills
• Genuine passion for serving elderly and underserved patient populations
Professional Development & Career Growth
We believe exceptional providers deserve exceptional support. Our organization is committed to helping clinicians grow both professionally and clinically through structured mentorship, advanced psychiatric education, ongoing case collaboration, and access to experienced behavioral health leadership.
This position provides an outstanding opportunity to deepen your expertise in geriatric psychiatry while developing advanced clinical skills that are highly sought after throughout today's healthcare landscape. As our organization continues to grow throughout Columbia County, Ulster County, and neighboring communities , providers may have opportunities to expand their schedules, mentor fellow clinicians, assist with provider education, participate in clinical program development, and advance into leadership positions.
Whether you're building your own practice, looking to diversify your professional experience, or searching for a meaningful long-term opportunity, this role offers the flexibility and support to help you achieve your career objectives.
Benefits
• Competitive compensation with strong earning potential
• Industry-leading clinical training and continuing education
• Ongoing mentorship from experienced psychiatric providers
• Comprehensive administrative and operational support
• Malpractice insurance coverage
• Opportunities to increase clinical responsibilities as the organization grows
• Long-term advancement within a rapidly expanding behavioral health organization
If you're looking for a role where you can practice autonomously, continue growing as a psychiatric clinician, and make a lasting impact on the lives of vulnerable older adults, this opportunity offers an exceptional combination of flexibility, purpose, and professional development while serving skilled nursing facilities throughout Columbia County and Ulster County, New York .