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First Assistant Jobs in Missouri (NOW HIRING)

GQR Global Markets

RNFA First Assist

Saint Louis, MO · On-site

$2.3K - $2.4K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 First Assist Registered Nurse (RN) Job Location: St. Louis, Missouri Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2385.32 - $2480.32 Duration ...

New

GQR

RNFA - First Assist

Saint Louis, MO · On-site

$2.3K - $2.4K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 First Assist Registered Nurse (RN) Job Location: St. Louis, Missouri Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2385.32 - $2480.32 Duration ...

BJC HealthCare

Registered Nurse First Assist

Saint Louis, MO

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Additional Information About the Role Barnes Jewish Hospital Registered Nurse First Assist * Neuro position * Pod 5-ortho/neuro spine and crans * 0630-1700 * 4/10 hour shifts * No call, no weekends

Care Career

Travel RN First Assist

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

First Assist * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel The RN First Assistant carries out functions that ...

BJC HealthCare

Registered Nurse First Assist

Saint Louis, MO · On-site

$38.42 - $64.34/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Additional Information About the Role Barnes Jewish Hospital Registered Nurse First Assist * Neuro position * Pod 5-ortho/neuro spine and crans * 0630-1700 * 4/10 hour shifts * No call, no weekends

BJC HealthCare

RN - First Assist

Saint Louis, MO · On-site

$38.42 - $64.34/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

BJC HealthCare

RN - First Assist

Saint Louis, MO

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure.

UnitiMed

RNFA First Assist

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

Referral bonus up to $700 Registered Nurse (RN),First Assist, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing services with heart.

BJC

RN - First Assist

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Role Purpose Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. RNFA works alongside the surgeon to provide direct patient care.

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Showing results 1-20

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Missouri

First Assistant information

See Missouri salary details

$30.5K

$125.2K

$179.6K

How much do first assistant jobs pay per year?

As of Aug 16, 2026, the average yearly pay for first assistant in Missouri is $125,178.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,000.00 and $169,300.00 per year, depending on experience, location, and employer.

How do I become a first assistant?

To become a first assistant, typically you need relevant experience in the field, strong communication and organizational skills, and often a background in the specific industry or role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

What is a first assistant?

First Assistants, often referred to as First Assistant Directors (First ADs) in film and television production, are responsible for coordinating all production activities on set. They assist the director by managing the shooting schedule, ensuring that cast and crew are prepared, and facilitating communication between departments. Their role is essential in keeping the production running smoothly, safely, and on time. First Assistants also help enforce safety protocols and can be involved in overseeing rehearsals and blocking scenes. Overall, they play a key organizational and leadership role in any production.

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

To thrive as a First Assistant, you need a comprehensive understanding of surgical procedures, aseptic techniques, and anatomy, usually backed by a relevant certification such as Certified Surgical First Assistant (CSFA) or equivalent clinical training. Familiarity with surgical instruments, operating room protocols, and electronic medical records is typically required. Strong attention to detail, effective communication, and the ability to work well under pressure are essential soft skills. These competencies ensure optimal surgical outcomes, enhance patient safety, and support seamless teamwork in the operating room.

What is the difference between First Assistant vs Second Assistant?

AspectFirst AssistantSecond Assistant
CredentialsTypically requires medical or legal certifications, depending on industrySimilar credentials, often with less experience required
Work EnvironmentHigh-pressure settings, assisting lead professionalsSupport role, often in administrative or support settings
Employer & Industry UsageUsed in legal, medical, or film industries as a primary support roleSupporting role, often subordinate to First Assistant
Common Search & ComparisonOften compared for responsibilities and qualificationsLess frequently searched in comparison to First Assistant

The First Assistant typically holds more responsibilities, requires specific certifications, and works closely with lead professionals in high-pressure environments. The Second Assistant generally provides support and performs delegated tasks, often with less experience or certification requirements. Understanding these differences helps clarify career progression and role expectations within the industry.

What are some common challenges first assistants face when supporting high-level executives or teams?

First Assistants often juggle multiple priorities, such as managing complex calendars, responding to urgent requests, and coordinating logistics for meetings or events. One common challenge is maintaining clear communication and anticipating the needs of executives, which requires strong organizational skills and discretion. Additionally, First Assistants may need to adapt quickly to changing schedules or last-minute tasks, making flexibility and problem-solving essential. Building good relationships with both internal teams and external contacts also helps ensure smooth workflow and successful collaboration.

What are the most commonly searched types of First jobs in Missouri?

The most popular types of First jobs in Missouri are:

What cities in Missouri are hiring for First Assistant jobs?

Cities in Missouri with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Missouri as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $125,178 per year, or $60.2 per hour.

RNFA First Assist

GQR Global Markets

Saint Louis, MO • On-site

$2.3K - $2.4K/wk

Other

Medical, Dental, Vision

Posted 3 days ago

New

Job description

Contract - W2 First Assist Registered Nurse (RN)

Job Location: St. Louis, Missouri Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2385.32 - $2480.32 Duration: 13 weeks Specialty: First Assist Shift: Day Shift Details: null Day Job Type: Travel

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a job--it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

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