Journey Clinical is seeking a Knoxville, TN 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: Knoxville, Tennessee
• Schedule: Part-time / 1099 Contractor
• Availability: Monday + Wednesday mornings required, weekend and after hours preferred
• 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

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