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Journey ClinicalJourney Clinical

Journey Clinical is seeking a Royal Oak/Detroit, MI based Nurse Practitioner (NP) / Physician Assist

$126,000 - $150,000 / year

Hybrid

Beginner+

Telehealth

Flexible

NP, PA

Royal Oak, MI

Registered Nurse, Psychiatric/Mental Health


Description

Provide psychiatric intake evaluations and in-person monitoring for Spravato® sessions for patients being treated for depression in a structured outpatient setting. The role includes prescribing Spravato, managing insurance prior authorization, and observing patients during dosing and the post-dose monitoring period. Clinicians work at partner therapist offices in small cohorts and coordinate closely with operations to keep sessions safe and efficient.

Key Responsibilities
  • 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
  • Monitor patients during the observation period, including vitals, safety checks, and symptom monitoring
  • Complete required documentation accurately and on time
  • Coordinate with operations and partner sites to support smooth patient flow
  • Support a calm, safe environment during small cohort session blocks
Required
  • Active NP or PA license in the state of practice
  • Current, unrestricted DEA registration
  • Willingness to associate DEA registration to partner site address(es) as needed
  • Comfort with outpatient monitoring and responding to clinical changes such as blood pressure changes, anxiety, or dissociation
  • Strong documentation skills and reliability with protocols
  • Willingness to complete required Spravato® REMS-related training
Preferred
  • Psychiatry experience
  • Prior experience with ketamine or esketamine workflows
  • Experience with TMS, infusion, or other monitored treatment settings
Benefits & Perks
  • Part-time 1099 contractor schedule
  • Travel to partner therapist offices within an agreed-upon radius
  • Competitive hourly or per-session rate
  • Work in small cohorts with structured monitoring workflows
  • Training for Spravato® REMS-related processes