Physician Assistant/Psych Nurse Practitioner

Remote Full-time
About the position

At Total Life, we’re on a mission to support healthier aging and address mental health challenges by making high-quality, affordable emotional support services accessible to all older adults. As a behavioral health organization dedicated to older adult care, we use evidence-based practices to help clients live emotionally healthy, connected, and fulfilling lives.
We are seeking a Pennsylvania-licensed Physician Assistant or Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our telehealth practice providing care exclusively to the geriatric population. This role focuses on follow-up medication management, cognitive assessments, and development of initial care coordination plans for older adults. Ongoing monitoring and patient support will be provided by our nursing team.
This position offers a predictable daytime schedule with no evenings, weekends, or call requirements and is ideal for clinicians who are passionate about improving mental health and cognitive outcomes in older adults.
Adults age 65 and older
Patients in assisted living, long-term care, and community settings
Common conditions include dementia, mild cognitive impairment, depression, anxiety, behavioral symptoms of dementia, sleep disorders, and medication-related concerns
This is an excellent opportunity for a clinician who values relationship-based care, thoughtful medication management, and team-supported treatment for medically complex older adults.

Responsibilities
• Conduct telehealth follow-up visits for psychiatric medication management in geriatric patients
• Monitor treatment response and adjust medications with attention to age-related risks, polypharmacy, and medical comorbidities
• Perform cognitive screenings and assessments (e.g., MoCA, MMSE, or similar tools)
• Develop initial care coordination and behavioral support plans
• Collaborate closely with nursing staff who will provide ongoing monitoring and patient support
• Communicate with supervising psychiatrist as needed
• Maintain timely and accurate documentation within the EMR

Requirements
• Licensed and certified as a Physician Assistant or PMHNP in Pennsylvania (required)
• Experience in geriatric psychiatry, long-term care, or dementia care strongly preferred
• Experience with cognitive assessment tools and behavioral management strategies
• Comfortable delivering care via telehealth platforms
• Strong clinical judgment related to polypharmacy, fall risk, and medication safety in older adults
• Ability to work collaboratively within a team-based care model

Nice-to-haves
• Experience working with older adults or in geriatric mental health
• Strong interpersonal and communication skills with a compassionate, patient-centered approach
• Bilingual in English/Spanish is a plus
• Established relationships within your local community

Benefits
• Extremely competitive salary
• Full-time position with comfortable visit lengths
• Supportive clinical and administrative team
• Opportunities for professional growth, leadership, and meaningful impact within a mission-driven organization
• Consistent daytime schedule and strong work-life balance
• Supportive administrative, nursing, and psychiatric leadership team
• Flexible compensation structure
• Opportunity to make a meaningful impact in an underserved geriatric population
• Minimal administrative burden with strong clinical support

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