Full Time 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.

Job Purpose:
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.
Key Responsibilities
Clinical & Patient Care
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.
Leadership & Oversight
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.
Care Coordination & Documentation
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.
Insurance, Authorizations & Financial Coordination
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 timeframes.
Operational & Administrative Duties
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., NeuroStar) 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.
Reporting Structure
Reports directly to: TMS / Spravato Coordinator

Requirements
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 following provided training.
Willingness and ability to be trained in Spravato administration observation, vitals
collection, and REMS requirements.
Experience working with patients experiencing depression and anxiety preferred.
Demonstrated proficiency with electronic health record systems.
Ability to collaborate effectively with psychiatrists, nurses, coordinators, and
administrative staff.
Strong attention to patient safety, comfort, and confidentiality.

Excellent communication, leadership, and interpersonal skills.
Ability to multitask, prioritize, and function in a fast-paced clinical environment.
Skills & Competencies:
Multi-tasking • Attention to Detail • Flexibility • Scheduling • Telephone Skills • Word
Processing • Customer Service • Professionalism • Time Management • Organization • Quality

Work Location:

• In-person

This position requires the individual to undergo and pass an L2 Background check through AHCA (Florida Agency for Healthcare Administration) before their first day of employment. This process includes fingerprinting.

If you do not possess an active/eligible L2 background check, we are unable to offer the job. Please note that the individual may be charged $89.15 to complete the fingerprinting process through DTIS (Digital Trusted Identity Services).