What are the responsibilities and job description for the Journey Clinical is seeking a San Diego, CA Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Clinician position at Journey Clinical?
Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician (Part-Time, On-Site/Hybrid) - Psychiatric Experience preferred
Location: San Diego, CA
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
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Conduct psychiatric intake evaluations and screening to determine Spravato eligibility
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Prescribe Spravato and initiate documentation for insurance prior authorization
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Provide on-site clinical support during Spravato® dosing sessions (patients self-administer nasal spray)
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Monitor patients during the observation period (vitals, safety checks, symptom monitoring)
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Complete required documentation accurately and on time
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Coordinate with Journey Clinical operations and partner sites to ensure smooth patient flow
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Support a calm, safe environment for small cohorts (typically 3–4 patients per session block)
Schedule & Location
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Part-time / per-diem (1099 contractor)
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Travel to partner therapist offices within an agreed-upon radius
Required Qualifications
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Active NP or PA license in the state of practice
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Current, unrestricted DEA registration
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Willingness to register/associate your DEA registration to partner site address(es) as needed for Spravato® operations
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Comfort with outpatient monitoring and responding to clinical changes (e.g., blood pressure changes, anxiety, dissociation)
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Strong documentation skills and reliability with protocols
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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
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Competitive hourly/per-session rate