Eldership and ministry
After his ordination Barsanuphius was appointed in 1903 to assist the elder Joseph, sharing in the spiritual direction of the skete and of the sisters of the nearby Shamordino convent. As Elder Joseph grew frail, Barsanuphius was appointed Superior of the skete in his place. Accounts of his administration credit him with restoring discipline, settling debts, and repairing the skete's buildings.
Like the other Optina elders, he was venerated as a confessor and director of souls; his life attributes to him the gifts of clairvoyance and of healing those afflicted with physical and spiritual ailments. In 1912 he was transferred to Old-Golutvin Monastery near Kolomna as its abbot, a move sources connect to opposition within Optina to its traditional ascetical practice and eldership. He died there on April 1, 1913, and was buried at Optina.