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How much do spravato nurse jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for spravato nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a Spravato nurse?

Spravato nurses are registered nurses who are specially trained to administer Spravato (esketamine) nasal spray to patients with treatment-resistant depression. They monitor patients before, during, and after each treatment session to ensure safety, manage potential side effects, and provide support throughout the process. These nurses play a crucial role in educating patients about the medication, adhering to safety protocols, and collaborating with other healthcare providers as part of a comprehensive mental health care team.

What are the key skills and qualifications needed to thrive as a Spravato nurse, and why are they important?

To thrive as a Spravato Nurse, you need a valid RN license, experience in psychiatric or infusion nursing, and knowledge of Spravato (esketamine) administration protocols. Familiarity with electronic health records (EHR), vital sign monitoring devices, and adverse event reporting systems is essential. Compassion, strong patient observation skills, and the ability to remain calm under pressure help ensure patient safety during monitoring periods. These skills are vital for effectively managing complex patient needs and maintaining safety standards during Spravato treatments.

What are some common challenges Spravato nurses face when administering treatment, and how can they be managed?

Spravato Nurses often encounter challenges such as monitoring patients for potential side effects like dissociation or elevated blood pressure during and after treatment sessions. Managing these challenges requires strong clinical observation skills, clear communication with patients, and close collaboration with prescribing clinicians. Nurses must also provide emotional reassurance and education to patients who may feel anxious about the treatment. Working in a multidisciplinary team helps ensure comprehensive care and swift response to any adverse events.

What is the difference between Spravato Nurse vs Psychiatric Nurse?

AspectSpravato NursePsychiatric Nurse
CredentialsRN license, specialized training in nasal spray administration and mental healthRN license, general psychiatric training
Work EnvironmentClinics administering Spravato, mental health facilitiesHospitals, clinics, mental health centers
Employer & IndustrySpecialized clinics, mental health practicesHospitals, outpatient clinics, mental health agencies

Spravato Nurses focus on administering nasal esketamine treatments for depression, requiring specialized training. Psychiatric Nurses have broader mental health responsibilities across various settings. While both roles require RN licensure, Spravato Nurses need specific training related to nasal spray protocols, making their work more specialized within mental health treatment centers.

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Spravato Nurse jobs near you
Infographic showing various Spravato Nurse job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 58% Full Time, 15% Part Time, and 23% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Spravato/TMS Coordinator

Vigeo Ketamine and Wellness Center, LLC

Fort Worth, TX • On-site

$20 - $25/hr

Full-time

Medical, Retirement, PTO

Re-posted 17 days ago

Job description

Vigeo Wellness Spravato/TMS Coordinator Job Posting

About The Position
The Spravato/TMS Coordinator position at Vigeo Wellness involves coordinating care for patients receiving Spravato or TMS treatment for depression in an outpatient mental health setting. This role requires on-site shifts Monday-Friday from 8:30am-5pm at our Fort Worth location. The coordinator will manage schedules, obtain prior authorizations, assist with patient care, and ensure compliance with various regulations while providing a safe and therapeutic environment for treatment sessions.

Compensation
30 day probationary period as a 1099 contractor at $20/hr 
After probationary period: $20-$25/hr depending on experience

Benefits
2 weeks PTO
Paid Health Insurance Benefits after 1st month of full-time employment
401K with company match after 1 year of service

Duties
Managing schedules related to Spravato and TMS treatments
Obtaining prior authorizations for new patients
Maintaining authorizations for active patients
Administering TMS treatments in collaboration with psychiatrist and psychiatric mental health nurse practitioner
Assisting with patient care related to Spravato and TMS
Medication ordering from various pharmacies to each location
Maintaining compliance with REMS, DEA, Med log audits, etc
Auditing Spravato Charts as needed
Assisting with Spravato consultations as needed
Providing safe and therapeutic environment for daily treatment sessions
Performing office administration tasks such as answering phones, maintaining office organization, managing leads, reporting statistical activity to management, collecting copays, and handling medical records in compliance with HIPAA

Requirements
At least 1 year experience as Certified Medical Assistant, Medication Technician, or Nursing Assistant with experience working with authorizations for medication required
2 years mental/behavioral health experience preferred
Bachelor’s degree preferred OR a HS diploma or Associate’s Degree PLUS Medical Assistant certification/licensure and experience required
Medical Insurance experience required
Please note, this is not a virtual position and does require being onsite

Nice-To-Haves
Previous experience with administering controlled substances preferred, but not required
Previous TMS and/or Spravato administration experience preferred, but not required
Prior EMR/EHR experience preferred, but not required
Proficiency in Google Documents applications
Billing software knowledge
Clinical Interviewing skills 
Basic Life Support Certification
Previous experience working directly with physicians

About Us

Vigeo Wellness was founded in 2022 offering ketamine infusion therapy for chronic pain and mental health. Since then we’ve served hundreds of patients in and around Tarrant and Parker County. As we have grown, we’ve recognized a need to include other treatment modalities and offer full service psychiatry options in order to better serve our patient population.

A position with Vigeo Wellness offers a dynamic work environment that is very unique. Our non-traditional approach to mental healthcare sets us apart. We believe the future of mental health lies in exciting new therapies like psychedelics and TMS. Apply to learn more about our growing team and the vision we have for the future of mental health treatment.