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First Assistant Jobs in Rolla, MO (NOW HIRING)

First Student

School Bus Driver- Rolla, MO

Rolla, MO · On-site

$19.30/hr

... assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First Student! Make an impact in your community while enjoying flexible ...

First Student

School Bus Driver- Rolla, MO

Rolla, MO · On-site

$19.30/hr

... assistant, hospitality worker, or customer service or retail associate. Take the wheel and drive your career forward with First Student! Make an impact in your community while enjoying flexible ...

MARIES MANOR

Activity Assistant

Vienna, MO · On-site

$14.75 - $17.50/hr

Activity Assistant Marie's Manor, Vienna, Missouri Join Our Team and Make a Difference in the Lives ... Our company slogan, "n/a," embodies our dedication to serving others and putting their needs first.

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First Assistant information

See Rolla, MO salary details

$32K

$131.2K

$188.3K

How much do first assistant jobs pay per year?

As of Aug 25, 2026, the average yearly pay for first assistant in Rolla, MO is $131,201.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,800.00 and $177,500.00 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 cities near Rolla, MO are hiring for First Assistant jobs?

Cities near Rolla, MO with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Rolla, MO as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $131,201 per year, or $63.1 per hour.

Advanced Orthopedic Physician Assistant RNFA

MLee Medical Employment

Steelville, MO • On-site

$111K - $144K/yr

Other

Posted 21 days ago

Job description

Join a dedicated orthopedic surgery team as a Physician Assistant or Nurse Practitioner with RN First Assist certification. This role offers a unique blend of clinical and surgical responsibilities in a supportive, mentorship-driven environment located in the Midwest region of the United States.
What You'll Do

  • Clinical Care (2.5 days/week): Provide comprehensive pre- and post-operative care in an orthopedic clinic setting. Conduct patient evaluations, develop treatment plans, and perform procedures such as casting, splinting, suturing, and joint aspirations/injections. Collaborate closely with the surgical team to manage new and follow-up patients.
  • Operating Room Experience (2 days/week): Serve as first assist during orthopedic surgeries alongside experienced surgeons. Complete operative reports, progress notes, and post-operative orders while gaining valuable hands-on surgical experience in a teaching-focused atmosphere.
  • Collaborative Practice: Work in partnership with physicians, registered nurses, and other healthcare professionals to deliver team-based care. Provide patient and family counseling on treatment plans, medications, and health promotion. Participate in staff education and training initiatives, fostering lasting patient relationships throughout their care journey.
Education & Licensure
  • Graduation from an accredited Physician Assistant or Nurse Practitioner program, including RN First Assist certification.
  • Current or eligible for state licensure and DEA/BNDD prescriptive authority.
  • Current Basic Life Support (BLS) certification from the American Heart Association or Red Cross.
Skills & Qualities
  • Strong clinical decision-making and communication abilities.
  • Ability to thrive in a collaborative, team-oriented environment.
  • Commitment to continuous learning and professional growth.
  • Proficiency with electronic health record (EHR) systems and medical documentation.
  • Patient-centered approach with dedication to compassionate care.

This opportunity offers meaningful work in a close-knit community setting, professional growth through hands-on surgical experience and mentorship, and a balanced schedule with competitive benefits. If you are passionate about orthopedics and eager to develop your surgical skills in a supportive teaching environment, we encourage you to apply.
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About McCall and Lee

Sourced by ZipRecruiter

McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.

Industry

Recruiting and staffing services and human resources consulting services

Company size

11 - 50 Employees

Headquarters location

Austin, TX, US

Social media

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