Journey Clinical·Lakewood, Ohio
Conduct psychiatric intake evaluations and prescribe Spravato for eligible patients. Provide on-site clinical monitoring and safety checks during dosing sessions for small patient cohorts.
Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician (Part-Time, On-Site/Hybrid) - Psychiatric Experience preferred Location: Lakewood, OH 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 \n
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Must hold an active NP or PA license and an unrestricted DEA registration. Psychiatric experience is preferred, along with the ability to manage clinical changes like blood pressure or anxiety.
Market context
In Ohio, advanced-practice roles are typically in demand across primary care, urgent care, and specialty settings, especially for clinicians who can deliver holistic, evidence-based care and handle immunizations and vaccine counseling. These roles are competitive because employers often look for at least two years of medically relevant experience, current BLS certification, and quick completion of required credentialing steps such as the DOT certification exam. If you are considering applying, confirm that your experience aligns with the immunization and certification requirements and review the AI-summarized job requirements and benefits here to save time versus reading the original posting line by line.
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