Journey Clinical is seeking a Charlottesville, VA 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

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 (34 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 34 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