About The Position

Journey Clinical is seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to conduct psychiatric intake evaluations and provide in-person monitoring for Spravato® (esketamine nasal spray) sessions. These sessions are hosted at partner therapist offices and are designed for clinicians who enjoy structured outpatient care, value patient experience, and want to expand access to evidence-based treatment for depression. Spravato sessions are delivered in small cohorts (3–4 patients) and require 2+ hours of on-site monitoring in accordance with FDA REMS requirements. This role offers the opportunity to participate in the growing field of psychedelic and innovative mental health treatments in a flexible clinical environment.

Requirements

  • Active NP or PA license in the state of practice
  • Current, unrestricted DEA registration
  • Willingness to register/associate your DEA registration to partner site address(es) as needed for Spravato® operations
  • Comfort with outpatient monitoring and responding to clinical changes (e.g., blood pressure changes, anxiety, dissociation)
  • Strong documentation skills and reliability with protocols
  • Willingness to complete required program training (Spravato® REMS-related processes)

Nice To Haves

  • Psychiatry experience
  • Experience with ketamine/esketamine, TMS, infusion, or other monitoring workflows

Responsibilities

  • Conduct psychiatric intake evaluations and screening to determine Spravato eligibility
  • Prescribe Spravato and initiate documentation for insurance prior authorization
  • Provide on-site clinical support during Spravato® dosing sessions (patients self-administer nasal spray)
  • Monitor patients during the observation period (vitals, safety checks, symptom monitoring)
  • Complete required documentation accurately and on time
  • Coordinate with Journey Clinical operations and partner sites to ensure smooth patient flow
  • Support a calm, safe environment for small cohorts (typically 3–4 patients per session block)

Benefits

  • Competitive hourly/per-session rate
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