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First Assistant Jobs in Rochester, MN (NOW HIRING)

First Student

School Bus Driver

Rochester, MN

$26 - $29/hr

Previous experience as a teacher, CDL driver, social worker, classroom assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First ...

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First Assistant information

See Rochester, MN salary details

$33K

$135.7K

$194.7K

How much do first assistant jobs pay per year?

As of Jul 12, 2026, the average yearly pay for first assistant in Rochester, MN is $135,653.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,200.00 and $183,500.00 per year, depending on experience, location, and employer.

What are First Assistants?

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's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

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.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

What does a first assistant do?

A first assistant is a key member of a production team, often in film or theater, responsible for supporting the director or producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
What cities near Rochester, MN are hiring for First Assistant jobs? Cities near Rochester, MN with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Rochester, MN as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $135,653 per year, or $65.2 per hour.
Certified Surgical Assistant - CSA

Certified Surgical Assistant - CSA

Mayo Clinic

Rochester, MN • On-site

$10K/mo

Full-time

Medical, Dental, Vision, Retirement

Posted 6 days ago

Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 688 frontline employees who took The Breakroom Quiz

105th of 881 rated healthcare providers

Job description


The Certified Surgical Assistant (CSA) first assists the surgeon/physician in the performance of surgical procedures. The CSA has an understanding of human surgical anatomy; has developed surgical skills such as suturing, the proper use of surgical instrumentation, and proper positioning of surgical patients. The CSA possesses a working knowledge of the principles of aseptic technique, and perioperative policies and procedural guidelines. The CSA must have knowledge of surgical procedures and the ability to anticipate the needs of the surgeon. The CSA will work in a multi-specialty perioperative setting that includes general surgery, orthopedic surgery, neurological surgery, spinal surgery, ENT/radical neck surgery, gynecological surgery, urology surgery, cardiovascular surgery, thoracic surgery, vascular surgery, trauma surgery, plastic surgery, transplant surgery, colon-rectal surgery, and pediatric surgery.
At Mayo Clinic, you will experience:
  • The highest quality patient care by placing the needs of the patient first
  • Competitive Compensation
    • Potential relocation assistance of up to $10,000 (taxable)
    • Rare pension plan in addition to a 403(b) with employer match
    • Flexible choice options for Medical, Dental, Vision, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)

This position is not eligible for visa sponsorship. Mayo Clinic does not participate in the F-1 STEM OPT extension program.
See how Certified Surgical Assistants like Emily find purpose in supporting groundbreaking procedures and changing patients' lives. https://www.youtube.com/watch?v=LBbZblUcd5A
The Certified Surgical Assistant (CSA) first assists the surgeon/physician in the performance of surgical procedures. The CSA has an understanding of human surgical anatomy; has developed surgical skills such as suturing, the proper use of surgical instrumentation, and proper positioning of surgical patients. The CSA possesses a working knowledge of the principles of aseptic technique, and perioperative policies and procedural guidelines. The CSA must have knowledge of surgical procedures and the ability to anticipate the needs of the surgeon. The CSA will work in a multi-specialty perioperative setting that includes general surgery, orthopedic surgery, neurological surgery, spinal surgery, ENT/radical neck surgery, gynecological surgery, urology surgery, cardiovascular surgery, thoracic surgery, vascular surgery, trauma surgery, plastic surgery, transplant surgery, colon-rectal surgery, and pediatric surgery.
Qualifications
Graduate of a Surgical Assistant program or equivalent surgical assistant training. Currently certified as a Certified Surgical Assistant (CSA) through the National Surgical Assistant Association (NSAA) or as a Certified Surgical First Assistant (CSFA) through the National Board of Surgical Technology and Surgical Assisting (NBSTSA). Relevant operating room experience or training within the past 3 years is preferred.
Additional Qualifications:
Adapts to unpredictable situations within the perioperative setting. Proven ability to communicate with a variety of people in a direct, empathetic, and articulate manner. Demonstrates patient-centered and customer focused communication skills. Ability to work independently and as a team member with minimal supervision.
License or Certification:
Must have and maintain current certification as Certified Surgical Assistant with the National Surgical Assistant Association (NSAA) or Certified Surgical First Assistant with National Board of Surgical Technology and Surgical Assisting (NBSTSA). Maintains Basic Life Support certification.
BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode® BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers).
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.

About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

What Mayo Clinic employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919

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