At At Home Harmony, we believe seniors deserve better than the fragmented, clinic-bound care model. We're building something different: an integrated, home-based care model that brings primary care, psychiatric care, long-term care pharmacy, advanced dementia support, and personal care directly to the people who need it most — in the place they know best.
Based in Richmond and growing fast across Virginia and beyond, we're looking for a compassionate, sharp, and adaptable PMH/APP who wants to make a real, visible difference in the lives of older adults navigating psychiatric conditions and complex chronic illness. This role is anchored in psychiatric care, but you'll also provide primary care to a medically complex population — so if you love variety and want your clinical skills to matter every single day, this is for you.
What You'll Do:
Deliver care where patients actually live — in their homes or assisted living facilities
Diagnose, manage, and treat complex chronic illness with real clinical autonomy
Interpret test data and coordinate follow-up care to keep patients on track
Empower patients and families with the knowledge to manage their own health
Lead compassionate, honest conversations about end-of-life care and goals of care
What You Bring:
3+ years of experience as a provider working with geriatric patients
Strong clinical experience in geriatrics, psychiatry, dementia care, cognitive assessment, and chronic disease management
A genuine passion for relationship-centered care with older adults and their families
The energy to thrive in a fast-paced, high-volume environment without sacrificing quality
Sharp time management, documentation, and organizational instincts
Confident, healthy boundaries with patients, families, caregivers, and partners
A talent for navigating hard conversations — goals of care, caregiver stress, end-of-life planning — with warmth and clarity
Comfort with telehealth, EMRs, and AI-enabled documentation tools
Required Credentials:
Current, unrestricted VA license as a PMH/APP
Current national board certification
Current BLS
Active prescriptive authority and DEA registration
Valid driver's license with a clean driving record
Schedule Flexible — part-time or full-time options available.
Compensation & Benefits:
Salary: $145,000+ with bonus potential
Health insurance, 401(k), paid time off, and more
Ready to bring exceptional care into people's homes — and help build the future of senior care while you're at it? We'd love to hear from you.
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