Journey Clinical is seeking a Royal Oak, MI based Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician - Psychiatric Experience preferred
Journey Clinical
Royal Oak, MI, USA
Posted on Mar 21, 2026
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
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)
- Part-time / per-diem (1099 contractor)
- Sessions often scheduled evenings/weekends (varies by site)
- Travel to partner therapist offices within an agreed-upon radius
- 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
- Competitive hourly/per-session rate
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