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.
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)
Part-time / per-diem (1099 contractor)
Travel to partner therapist offices within an agreed-upon radius
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
Competitive hourly/per-session rate
Job details are sourced from the employer's original posting.
Open job postingAbout the company
JourneyClinical is a membership organization that supports licensed mental health professionals in growing their practices with ketamine-assisted psychotherapy (KAP). They provide comprehensive KAP education, access to an in-house medical team for patient eligibility and prescriptions, and new patient referrals.