TMS; Transcranial Magnetic Stimulation​/Spravato Lead

Mindful Behavioral Healthcare is a growing psychiatric practice located in Kissimmee, Florida! Our team is looking for a full-time TMS (Transcranial Magnetic Stimulation)/Spravato Lead to provide and administer treatments to patients and perform brief clerical duties as needed with patients and providers.

The TMS / Spravato Lead provides clinical, operational, and administrative leadership for Transcranial Magnetic Stimulation (TMS) and Spravato (esketamine) services at Mindful Behavioral Healthcare. This role ensures high-quality, compliant, and compassionate patient care while overseeing the full treatment lifecycle from referral through completion. The Lead serves as a primary clinical resource, supports coordination with medical, billing, and administrative teams, and assists with training, workflow adherence, and quality assurance for TMS and Spravato services.

The ideal candidate demonstrates strong clinical knowledge, leadership capability, attention to detail, and a patient‑centered approach, while functioning effectively within a multidisciplinary team.

• Administer TMS and Spravato treatments in accordance with established protocols and provider orders.
• Accurately position TMS equipment and ensure proper head and neck support for patient safety and treatment efficacy.
• Monitor Spravato patients during the required two‑hour observation period, ensuring correct self‑administration, collecting and documenting mandated vitals, and observing for side effects.
• Immediately notify the prescribing provider of any adverse reactions or clinical concerns.
• Ensure Spravato transportation requirements are upheld at each visit.
• Explain TMS and Spravato procedures, expectations, and potential side effects, answering patient questions with clarity and compassion.
• Create and maintain a supportive, calm, and therapeutic treatment environment.

• Serve as a clinical and operational lead for TMS and Spravato services, supporting day‑to‑day workflow and adherence to protocols.
• Assist in onboarding, training, and mentoring TMS/Spravato technicians as assigned.
• Act as a point of contact for clinical questions, workflow issues, and escalation of concerns to the TMS/Spravato Coordinator or providers.
• Support compliance with REMS requirements for Spravato and best practices for TMS delivery.

• Conduct and document TMS/Spravato orientations and consultations in the EHR.
• Document patient histories including diagnoses, contraindications, prior medication trials, and psychotherapy/PHP/IOP participation.
• Assist patients with completing psychiatric rating scales and ensure accurate session documentation.
• Collaborate closely with certified TMS psychiatrists and REMS‑certified providers regarding patient progress and treatment concerns.

• Obtain benefit investigations, insurance verifications, and patient financial responsibility information.
• Submit and track prior authorizations, single case agreements, and appeals; request extensions as needed to ensure uninterrupted treatment.
• Assist patients with payment arrangements and collect payments as applicable.
• Ensure treatments are administered within authorized time frames.

• Schedule TMS and Spravato consultations and treatment appointments.
• Ensure referral processes are followed and accurately tracked in Slack, eMed, and other designated systems.
• Coordinate Spravato pharmacy delivery orders and maintain accurate ordering, receiving, dispensing, and logging in the Spravato Logbook.
• Order TMS supplies (e.g., Neuro Star) and maintain inventory awareness.
• Maintain patient confidentiality and comply with all office policies, procedures, and regulatory requirements.
• Contribute to team efforts and assist with additional duties as needed.

Reports directly to: TMS / Spravato Coordinator

• Bachelor's or Associate degree in healthcare administration or related field, or a minimum of two (2) years of experience in a medical or behavioral health setting.
• Successful completion of TMS certification…