We are actively hiring experienced and compassionate Psychiatric Mental Health Nurse Practitioners (PMHNPs) to provide behavioral health services within long-term care, skilled nursing, and post-acute care environments across Tompkins County and nearby regions. This opportunity is ideal for clinicians seeking to work with a medically complex geriatric population while building a highly rewarding and flexible practice with strong income potential and long-term career growth.

Providers will operate with a high level of clinical independence while being supported by an established infrastructure, experienced leadership, and existing facility partnerships.

• Strong compensation structure with significant earning upside
  
• Flexible scheduling with both full-time and part-time options available
  
• Consistent weekday schedule with no nights or weekends required
  
• Opportunity to work across multiple long-term care and skilled nursing facilities
  
• Autonomy in clinical decision-making with support available when needed
  
• Ongoing training, mentorship, and professional development
  
• Clear pathways for advancement into leadership, expansion, and travel-based roles
  
• Ability to make a meaningful impact serving an underserved geriatric population
  

Requirements

• Conduct thorough psychiatric assessments for residents in nursing homes and long-term care settings
  
• Manage ongoing psychiatric care, including follow-up visits and medication oversight
  
• Identify and treat a range of behavioral health conditions commonly seen in the elderly population
  
• Initiate and adjust psychiatric medications based on clinical presentation and response to treatment
  
• Develop and implement individualized care strategies tailored to each resident’s needs
  
• Collaborate closely with interdisciplinary teams including nursing, medical providers, social services, and facility leadership
  
• Provide guidance to facility staff on behavioral management and psychiatric care approaches
  
• Maintain accurate, timely, and compliant clinical documentation
  
• Communicate effectively with residents, family members, and care teams to ensure continuity of care
  
• Contribute to overall quality and consistency of behavioral health services within assigned facilities
  
  

• Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP)
  
• Active and unrestricted New York State Nurse Practitioner license
  
• DEA registration or ability to obtain
  
• Demonstrated ability to work independently with sound clinical judgment
  
• Prior experience in geriatric psychiatry, long-term care, skilled nursing, or similar settings preferred
  
• Experience managing dementia-related behaviors, chronic psychiatric conditions, and complex medication regimens is highly desirable
  
• Strong interpersonal and communication skills
  
• Comfortable practicing in nursing home and long-term care environments
  
  

The right candidate will demonstrate a strong work ethic, accountability, and a desire to build a long-term, meaningful career in behavioral health. This role is well suited for clinicians who are both mission-oriented and motivated by financial growth opportunities.

Candidates should be comfortable working autonomously, while also valuing collaboration with interdisciplinary teams. Strong organizational skills, adaptability, and the ability to manage a dynamic caseload across facilities are essential.

Benefits

• Highly competitive compensation package
  
• Strong earning potential based on productivity and experience
  
• Medical, dental, and vision insurance
  
• 401(k) with employer contribution
  
• Paid time off
  
• Flexible scheduling options
  
• Long-term growth and advancement opportunities within the organization