Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician (Part-Time, On-Site/Hybrid) - Psychiatric Experience preferred

Location: Royal Oak, Michigan

Schedule: Part-time / 1099 Contractor

Organization: Journey Clinical

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.

What You’ll Do

• 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)
  
  
  

Schedule & Location

• Part-time / per-diem (1099 contractor)
• Sessions often scheduled evenings/weekends (varies by site)
• Travel to partner therapist offices within an agreed-upon radius
  
  
  

Required Qualifications

• 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)
• Ideal candidates will have psychiatry experience; ketamine/esketamine, TMS, infusion, or other monitoring workflows
  
  
  

Compensation

• Competitive hourly/per-session rate
  
  
  

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.