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First Assistant Jobs in West Virginia (NOW HIRING)

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Travel CVOR First Assist

Martinsburg, WV · On-site

$2.0K - $2.7K/wk

CVOR First Assist * Discipline: Allied Health Professional * Start Date: 09/13/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Position: Certified ...

Voyage Health

$2.4K - $2.5K/wk

ALLIED-CSTFA - Certified Surgical Technician First Assist (Travel/Contract) We're hiring experienced ALLIED-CSTFA - Certified Surgical Technician First Assist for a 13-week contract in Glen Dale ...

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Showing results 1-20

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in West Virginia

First Assistant information

See West Virginia salary details

$25.2K

$103.3K

$148.3K

How much do first assistant jobs pay per year?

As of Aug 12, 2026, the average yearly pay for first assistant in West Virginia is $103,314.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $139,700.00 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.
First Assistant jobs near you
Infographic showing various First Assistant job openings in West Virginia as of August 2026, with employment types broken down into 55% Full Time, 10% Part Time, and 35% Contract. Highlights an 100% In-person job distribution, with an average salary of $103,314 per year, or $49.7 per hour.

RN - First Assistant (RNFA)

Mission Hospital

Charleston, WV • On-site

$3.1K/wk

Other

Re-posted 2 days ago

Mission Hospital (Asheville) rating

6.3

Company rating: 6.3 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

780th of 1,058 rated hospitals

Job description

Details
Client Name
CAMC- Memorial Hospital
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
First Assistant (RNFA)
Job ID
36801923
Job Title
RN - First Assistant (RNFA)
Weekly Pay
$3101.0
Shift Details
Shift
4x10 Hour Day Shift
Scheduled Hours
40
Job Order Details
Start Date
08/20/2026
End Date
11/19/2026
Duration
13 Week(s)
Job Description
The RN First Assistant carries out functions that will assist the surgeon in performing a safe surgical procedure with optimum results for the patient. The RN First Assistant practices perioperative nursing, functions directly under the supervision of the surgeon during the surgical procedure, and does not function simultaneously as the scrub nurse.
Client Details
Address
3200 MacCorkle Avenue Southeast
City
Charleston
State
WV
Zip Code
25304

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