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First Assistant Jobs in Houston, TX (NOW HIRING)

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

As a SONIC Drive-In Assistant Manager, you are responsible for assisting the General Manager in managing the daily operations of the restaurant to provide quality food in a clean, safe, and efficient ...

Showing results 21-40

First Assistant information

See Houston, TX salary details

$31K

$127.4K

$182.9K

How much do first assistant jobs pay per year?

As of Aug 22, 2026, the average yearly pay for first assistant in Houston, TX is $127,442.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,700.00 and $172,400.00 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 Houston, TX?

The most popular types of First jobs in Houston, TX are:

What cities near Houston, TX are hiring for First Assistant jobs?

Cities near Houston, TX with the most First Assistant job openings:

Infographic showing various First Assistant job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $127,442 per year, or $61.3 per hour.

Surgical Tech First Assit

Parham Doctors' Hospital

Pasadena, TX โ€ข On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

Surgical Tech First Assistant

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Surgical Tech First Assistant with HCA Houston Healthcare Southeast you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

Provides direct patient care to infant through geriatric patient. Addresses the physical and general aspects of care related to the surgical environment. Communicates with surgeon continuously as needed about the patient's condition. Assist surgeon during operative and invasive procedures providing aid in exposure, hemostasis, closure, and other intraoperative technical functions that help the surgeon carry out a safe operation with optimal results for the patient. In addition to intraoperative duties, the surgical assistant also performs preoperative and postoperative duties to better facilitate proper patient care. The surgical assistant performs these functions during the procedure under the direction and supervision of the surgeon and in accordance with hospital policy and appropriate laws and regulations. Participates in performance improvement activities.

What You Will Do In This Role:
  • Strives to meet expectations/needs of customers; responds to concerns with sense of urgency; seeks win-win solutions for unreasonable patient/customer expectations.
  • Seeks opportunities for improvement; prevents small problems from becoming large ones; pays attention to detail; follows instructions and protocol/procedures; adheres to company Standards of Behavior; maintains integrity in all aspects of his/her work.
  • Builds effective working relationships; finds and provides information to clarify situations; expands on original ideas; contributes own ideas; places high priority on other team members goals; gains team agreement to support ideas; clearly explains rationale behind ideas/goals; demonstrates sensitivity to differing cultural views and needs; meets attendance and punctuality requirements.
  • Seeks to understand changes in work tasks/processes; actively seeks information about new tasks/processes; treats change and new tasks/processes as opportunities for learning and personal growth; speaks positively about changes to others; quickly modifies behavior to deal effectively with change.
  • Demonstrates knowledge and application of the surgical process.
  • Functions in collaboration with and at the direction of the surgeon being assisted.
  • Serves as the patient and family advocate with respect to the patient's right to privacy by protecting confidential information.
  • Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
  • Demonstrates knowledge of the occurrence reporting system; uses system to report potential patient safety issues.
  • Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient's care which results in patient harm.
What Qualifications You Will Need:
  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • (CSA) Certified Surgical Assistant, or (CSFA) Certified Surgical First Assistant, or (SA-C) Surgical Assistant Certified
  • Certificate, or Associate Degree

No Travel Required

No experience Required Years of Experience

Benefits

HCA Houston Healthcare Southeast, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas. We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered nurses and expert technicians, the community has come to rely on us for top-quality, comprehensive and compassionate healthcare. HCA Houston Southeast is the only hospital in Pasadena with both Chest Pain Center Accreditation with Primary PCI and Resuscitation by the American College of Cardiology and full accreditation by The Joint Commission on the Accreditation of Healthcare Organizations. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World's Most Ethical Companiesยฎ by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Surgical Tech First Assit opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.