ZipRecruiter

Log In

1

First Assistant Jobs in Roanoke, VA (NOW HIRING)

Meda Health

Travel First Assist

Roanoke, VA · On-site

Specialty: First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel ...

PRN Healthcare

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel PRN Healthcare Job ...

Prime Staffing

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours * Employment Type: Travel Prime Staffing Job ID ...

Care Career

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Prepare the ...

TravSource

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours * Employment Type: Travel TravSource Job ID ...

Lucid Staffing Solutions

Travel First Assist

Roanoke, VA · On-site

$2.7K/wk

First Assist Technician * Discipline: Allied Health Professional * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Position: Travel Surgical Tech (CST) with ...

Catalytic Solutions

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel About Catalytic ...

Zack Group

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel Zack Group is ...

GHR Healthcare - Travel

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 10 hours, days * Employment Type: Travel GHR Healthcare - ...

Meda Health, LLC

Surg Tech - First Assist

Roanoke, VA · On-site

$2.5K/wk

Details Client Name Lewisgale Medical Center Job Type Travel Offering Allied Profession Surg Tech Specialty First Assist Job ID 18939351 Job Title Surg Tech - First Assist Weekly Pay $2566.0 Shift ...

TRS Healthcare

Travel First Assist Technician

Roanoke, VA · On-site

$19 - $26.25/hr

First Assist Technician * Discipline: Allied Health Professional * Start Date: 09/07/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel TRS Healthcare Job ...

PRIDE Health

Travel First Assist

Roanoke, VA · On-site

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel A Surgical ...

GLC On-The-Go

Travel First Assist

Roanoke, VA · On-site

$2.1K - $2.2K/wk

First Assist Technician * Discipline: Allied Health Professional * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel Surgical Tech - ...

LanceSoft

Travel CVOR First Assist

Roanoke, VA · On-site

$1.9K - $2.6K/wk

CVOR First Assist * Discipline: Allied Health Professional * Start Date: 09/07/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel CVOR CST FA proficient ...

next page

Showing results 1-20

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Roanoke, VA

First Assistant information

See Roanoke, VA salary details

$31.9K

$131K

$187.9K

How much do first assistant jobs pay per year?

As of Aug 26, 2026, the average yearly pay for first assistant in Roanoke, VA is $130,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $177,100.00 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 Roanoke, VA?

The most popular types of First jobs in Roanoke, VA are:

What cities near Roanoke, VA are hiring for First Assistant jobs?

Cities near Roanoke, VA with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Roanoke, VA as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $130,952 per year, or $63 per hour.

Certified Surgical First Assistant - Surgical First Assistant

Carilion Roanoke Memorial Hospital

Roanoke, VA • On-site

$2.6K/wk

Other

Posted yesterday

New

Carilion Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 215 frontline employees who took The Breakroom Quiz

454th of 893 rated healthcare providers

Job description

Details
Client Name
LewisGale Medical Center
Job Type
Travel
Offering
Allied
Profession
Certified Surgical First Assistant
Specialty
Surgical First Assistant
Job ID
37764853
Job Title
Certified Surgical First Assistant - Surgical First Assistant
Weekly Pay
$2646.0
Shift Details
Shift
10-Hour Day
Scheduled Hours
40
Job Order Details
Start Date
08/31/2026
End Date
11/30/2026
Duration
13 Week(s)
Job Description
Job Opportunity
Position Overview
We are seeking a skilled professional to join our team in Salem, VA, in a dynamic hospital environment. The ideal candidate will be proficient in orthopedic surgery, robotic surgery using the Da Vinci system, and neurosurgery. This role involves working in the operating room with a focus on providing exceptional patient care.
General Information
  • Location: Salem, VA
  • Unit Name: First Assist
  • Number of Beds: 10 main OR
  • Patient Ratios: 1:1
  • Unit Staffing Description: Each room is staffed with one circulating nurse and one surgical tech.
  • Type of Equipment: Operating Room equipment including advanced surgical tools.
  • Documentation System: Meditech
Scheduling and Policies
  • Shift: 10-hour shifts with rotating on-call duties during weeknights and weekends.
  • Floating Policy: No floating between units.
Patient Experience Requirements
To ensure high-quality patient care, all candidates must meet specific experience requirements and participate actively in enhancing patient satisfaction.
Certification and Skills
  • Mandatory Certification: Must be a licensed First Assistant in Virginia.
  • Requested Skill Set: Proficiency in orthopedic surgery, robotic surgery (Da Vinci), and neurosurgery.
  • Advanced Skills Needed: Experience performing craniotomies, spinal fusions, liver resections, Whipple procedures, and MAKO total joint surgeries.

Dress Code
Scrubs will be provided as part of the required uniform.
Unit Guidelines and Policies
Prospective candidates are encouraged to review unit-specific guidelines and policies to ensure alignment with our standards.
Awards and Recognition
We are proud of our outstanding team and invite candidates to learn more about our department's achievements, technology, and long-tenured staff.
Why Join Us?
Consider joining a motivated team that utilizes state-of-the-art equipment and fosters a learning environment. This position offers opportunities to engage with innovative technology and collaborate with experienced professionals in the surgical field.
Client Details
Address
1900 Electric Road
City
Salem
State
VA
Zip Code
24153

What Carilion Clinic employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Carilion Clinic logo

About Carilion Clinic

Sourced by ZipRecruiter

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Roanoke, VA, US

Year founded

1899

View All Carilion Clinic Jobs

Apply