Journey Clinical is seeking a Royal Oak/Detroit, MI based Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Clinician

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 andprovide 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)
  
  

• 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)

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

Compensation

• Competitive hourly/per-session rate