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Journey Clinical
Chattanooga, Tennessee

Journey Clinical is seeking a Chattanooga, TN based Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician - Psychiatric

Nurse PractitionerContract Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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Posted 5mo ago · Verified live

Job Description

Nurse Practitioner (NP) / Physician Assistant (PA) — Spravato® Treatment Clinician (Part-Time, On-Site/Hybrid) - Psychiatric Experience preferred

  • Location: Chattanooga, Tennessee
  • 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)

Sessions often scheduled evenings/weekends (varies by site)

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

Key Responsibilities

Conduct psychiatric intake evaluations and provide on-site clinical monitoring for patients undergoing Spravato treatment. Ensure patient safety during dosing sessions and maintain accurate clinical documentation in accordance with REMS requirements.

Requirements

Must hold an active NP or PA license in the state of practice with current, unrestricted DEA registration. Previous experience in psychiatry or specialized monitoring workflows like ketamine or infusion therapy is preferred.

Qualifications

Experience
2+ years of experience

Certifications

DEA License

Key Skills

Spravato administrationPatient monitoringVitals monitoringREMS complianceKetamine therapyEsketamine therapy

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 28% are remote, 58% have no call, 72% require no weekends.

Psychiatry pay on WeekdayDoc is up 5.5% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Nurse Practitioner Jobs

48 matches · ranked by pay

Salary Distribution47 jobs · 39 employers

23
<$160k
13
$160k-195k
3
$195k-230k
8
$230k-265k

Annual compensation range

Benefits & Perks37 jobs

401k / retirement match
92%
CME allowance
49%
Sign-on bonus
46%
Loan repayment
16%
PSLF eligible
8%

Share of similar jobs offering each benefit

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$216k-$252k
#2

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#3

Psychiatric Mental Health Nurse Practitioner (PMHNP)

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#4

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+ 46 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,201 comparable listings. Shaded area = the share scoring below this one.

Living in Chattanooga

Typical 3-bedroom home value
$327k
Typical market rent
$1,513/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
91.5
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Chattanooga, TN-GA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.