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First Assistant Jobs in Missouri (NOW HIRING)

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First Assistant information

See Missouri salary details

$30.5K

$125.2K

$179.6K

How much do first assistant jobs pay per year?

As of Sep 13, 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.

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 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 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.

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 environment. Some roles may require specific certifications or training, depending on the industry standards. Gaining practical experience through internships or entry-level positions can also be beneficial.

How much do first assistants make?

First assistants in Florida typically earn between $30,000 and $60,000 annually, depending on experience, location, and the industry they work in. They often require strong organizational skills and proficiency with office tools to perform their duties effectively.

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, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $125,178 per year, or $60.2 per hour.

Travel Endovascular OR RN First Assistant - $3,027 per week

Saint Louis, MO • On-site

Host Healthcare
Hospitals • 201 - 500 employees
Learn more about Host Healthcareexternal

$3.0K/wk

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 6 days ago

Job description

Host Healthcare is seeking a travel nurse RN First Assist for a travel nursing job in St. Louis, Missouri.

Job Description & Requirements
  • Specialty: First Assist
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel

Looking for a great Travel First Assist Nursing Job in St. Louis, Missouri? Host Healthcare posted this Travel Nursing Job that offers 40 hours a week for 13 weeks in St. Louis, Missouri.

Vivian Health provides transparent Travel First Assist Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so you can compare travel opportunities matching your desired criteria.

With Vivian, you can chat directly with recruiters and apply to staffing agencies with a Single Reusable Profile to find your ideal job faster and easier than ever.

The details for this Travel First Assist Nursing Job are:

  • Specialty: First Assist
  • Job Location: St. Louis, Missouri
  • Travel Nurse Salary: $3,027/week
  • Start Date: ASAP
  • Assignment Length: 13 weeks
  • Total Hours Per Week: 40 weekly
  • Shift Breakdown: 4x10 hrs
  • Shift: 10 hours, days

Host Healthcare Job ID #a1fVX000003cM5qYAE. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - OR-First Assist

About Host Healthcare

At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don’t have to.

We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you.

During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.

Travel comfortably with Host Healthcare.

Benefits
  • Referral bonus
  • School loan reimbursement
  • Vision benefits
  • Wellness and fitness programs
  • Company provided housing options
  • License and certification reimbursement
  • Life insurance
  • Medical benefits
  • Mileage reimbursement
  • Pet insurance
  • Discount program
  • Employee assistance programs
  • Guaranteed Hours
  • Health savings account
  • Holiday Pay
  • 401k retirement plan
  • Continuing Education
  • Dental benefits
Host Healthcare logo

About Host Healthcare

Sourced by ZipRecruiter

At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment.

Industry

Hospitals

Company size

201 - 500 Employees

Headquarters location

San Diego, CA, US

Year founded

2012

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