Physician Assistant (PA-C) or Psychiatric Nurse Practitioner (PMHNP) Spravato (Esketamine) / Int

Harbor Psychiatry & Mental Health is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) or Physician Assistant (PA-C) to join our Spravato (esketamine) and intranasal ketamine treatment team. This role is primarily focused on the evaluation, management, and monitoring of patients undergoing ketamine-based therapies for treatment-resistant depression and related conditions.

We are a large single-specialty outpatient clinic dedicated to providing comprehensive, innovative, and patient-centered mental health care throughout Orange County. Our mission is to expand access to advanced psychiatric treatments while delivering compassionate, high-quality care. We believe in combining clinical excellence with empathy—“head and heart together”—to support meaningful and lasting patient outcomes.

Position Overview:

This provider will play a key role in our Spravato /IN ketamine psychiatry program, working closely with clinical staff to ensure safe and effective administration of Spravato treatments. The role emphasizes patient safety, adherence to REMS protocols, and close clinical monitoring throughout the treatment process.

Key Responsibilities:

• Conduct psychiatric evaluations to determine eligibility for Spravato / intranasal ketamine treatment
• Provide patient education and obtain informed consent prior to initiation of therapy
• Develop and manage individualized treatment plans in collaboration with supervising psychiatrists
• Oversee Spravato treatment days, including pre-treatment assessment and post-administration monitoring
• Monitor for adverse effects including dissociation, sedation, and blood pressure changes
• Ensure compliance with FDA REMS program requirements and clinic protocols
• Assess treatment response and adjust care plans accordingly
• Provide ongoing psychotropic medication management as appropriate
• Collaborate with interdisciplinary team members to coordinate care and optimize outcomes
• Maintain accurate and thorough clinical documentation

Practice Highlights:

• Outpatient with flexible scheduling
• No hospital or ER responsibilities
• No evening or weekend shifts
• Dedicated Spravato / ketamine treatment program
• Strong interdisciplinary team model
• Psychiatrists (MD/DO), Psychologists (PhD/PsyD), and experienced support staff
• On-site training and supervision by a psychiatrist
• Paid time for charting and case collaboration

Patient Population:

Primarily high-functioning adults and adolescents seeking treatment for:

• Treatment-resistant depression
• Mood disorders
• Anxiety disorders
• ADHD and related conditions

Requirements:

• Active California license (PA-C or PMHNP-BC)
• DEA license required
• Experience in psychiatric medication management
• Strong clinical judgment and attention to patient safety
• Interest in Spravato and ketamine-based treatments (training provided)

Compensation:

Salary: $145,600 to $187,200 / year
Hourly Equivalent: $70.00 – $90.00 per hour (dependent on experience)

Benefits:

• 401(k) and 401(k) matching
• Medical, dental, and vision insurance
• Paid time off, sick days, and holidays
• Flexible scheduling
• Professional development assistance
• Retirement plan

Schedule:

• 8-hour shifts
• Monday to Friday
• No evenings or weekends required

Additional Compensation:

• Bonus pay opportunities

Work Location:

In person – Newport Beach, CA

Pay: $145,600.00 - $187,200.00 per year

Benefits:

• 401(k)
• Health insurance
• Paid time off

Work Location: In person