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 Location: Charlottesville, VA 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