Journey Clinical·Royal Oak, Michigan
Conduct psychiatric intake evaluations and prescribe Spravato for eligible patients. Provide on-site clinical monitoring and safety checks during dosing sessions in small patient cohorts.
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)
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. Psychiatry experience and familiarity with monitoring workflows like ketamine or TMS are preferred.
Market context
Advanced-practice roles in Michigan are often competitive because employers look for licensed Nurse Practitioners or Physician Assistants who can step into primary care settings with minimal onboarding. This posting requires a valid Michigan Medical License, Controlled Substance License, and Federal DEA License, and prior primary care experience is preferred. Job requirements and benefits here are AI-summarized from the original job description, saving you research time; confirm credential status and prepare examples of primary care experience before applying.
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