About The Position

Journey Clinical is hiring an NP/PA to conduct psychiatric intake evaluations and provide in-person monitoring for Spravato® (esketamine nasal spray) sessions hosted at partner therapist offices. This is a great opportunity for a clinician who enjoys structured outpatient care, values patient experience, and wants 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
  • 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)
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