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First Assistant Jobs in Tyler, TX (NOW HIRING)

Christus Health

PA/NP - Neurosurgery

Tyler, TX

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

Neurology, PA/NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

OR First Assist * Clinic * Inpatient Rounding * Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors. * AI-Enabled Documentation Support: We use ...

CHRISTUS Health

PA/NP - Neurosurgery

Tyler, TX · On-site

$102K - $132K/yr

Neurosurgery PA or NP with First Assist - CHRISTUS Health, Tyler, TX CHRISTUS Health is seeking a PA or an NP with first assist certification to join our well-established neurosurgery team in Tyler ...

CHRISTUS Health

NP/PA - Vascular

Tyler, TX · On-site

$102K - $132K/yr

Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Physician Assistant ...

CHRISTUS Health

NP/PA - Vascular

Tyler, TX

Description Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Physician ...

Christus Health

NP/PA - Vascular

Tyler, TX

$102K - $132K/yr

Description Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Physician ...

CHRISTUS Health

NP/PA - Vascular

Tyler, TX · On-site

$102K - $132K/yr

Tyler | Nurse Practitioners | Full Time Description Vascular Surgery - PA or NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX CHRISTUS Health is seeking a Physician Assistant (PA) or ...

CHRISTUS Health

NP - Vascular

Tyler, TX · On-site

Description Vascular Surgery - NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Nurse ...

CHRISTUS Health

NP - Vascular

Tyler, TX

Description Vascular Surgery - NP w/ First Assist Certification - CHRISTUS Health, Tyler, TX Recruiter: Richelle Howell richelle.howell@christushealth.org CHRISTUS Health is seeking a Nurse ...

Earthbound Holding LLC

Key Holder - #477 Tyler

Tyler, TX · On-site

$12.10 - $12.60/hr

Assisting the 1st assistant and manager with all day-to-day operations of thestore * Making sure the floor is properly merchandised with freight to floor within 48 hours * Inventory control and ...

TNAA

Operating Room (OR) Registered Nurse RN

Tyler, TX · On-site

$53.45/hr

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA

Operating Room (OR) Registered Nurse RN

Tyler, TX · On-site

$53.45/hr

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

TNAA

Operating Room (OR) Registered Nurse RN

Tyler, TX

$53.45/hr

Additional duties for RN First Assistant may include: * Assist physicians by delivering direct surgical care. * Help control bleeding. * Suture patients following surgery. OR Travel Nurses should be ...

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Showing results 21-40

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Tyler, TX

First Assistant information

See Tyler, TX salary details

$30.6K

$125.8K

$180.5K

How much do first assistant jobs pay per year?

As of Aug 9, 2026, the average yearly pay for first assistant in Tyler, TX is $125,755.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,200.00 and $170,100.00 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.
What cities near Tyler, TX are hiring for First Assistant jobs? Cities near Tyler, TX with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Tyler, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $125,755 per year, or $60.5 per hour.

PA/NP - Neurosurgery

Christus Health

Tyler, TX

$102K - $132K/yr

Full-time

PTO

Re-posted 5 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 530 frontline employees who took The Breakroom Quiz

532nd of 887 rated healthcare providers

Job description

Description

Neurosurgery PA or NP with First Assist – CHRISTUS Health, Tyler, TX

CHRISTUS Health is seeking a PA or an NP with first assist certification to join our well-established neurosurgery team in Tyler, TX

Position Details:

  • OR First Assist
  • Clinic 
  • Inpatient Rounding
  • Physician-Led Organization: Clinicians have a seat at the table through our Physician Board of Directors.
  • AI-Enabled Documentation Support: We use Abridge, an AI-powered clinical documentation solution in clinic that saves time and lets you focus on patients, not paperwork.
  • Robust Multispecialty Network: Over 1,000 physicians and advanced practice providers across 41 specialties in 82 clinic locations throughout Northeast Texas.

Compensation and Benefits:

  • Competitive compensation and benefits package
  • Sign-on bonus
  • Comprehensive malpractice coverage including tail
  • Generous PTO and CME allowance
  • No state income tax

Located 90 miles east of Dallas, Tyler offers a high quality of life with affordable housing, excellent schools, and a vibrant cultural scene. The city's commitment to healthcare development provides medical professionals with opportunities to make a meaningful impact while enjoying a balanced lifestyle. You can enjoy almost year-round access to outdoor activities including lakes, golf courses, hiking/biking trails.

CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprising almost 350 services and facilities, including more than 60 hospitals and long-term care facilities, 175 clinics and outpatient centers and dozens of other health ministries and ventures. CHRISTUS Health serves the need of underserved communities in seven (7) U.S., states, Chile, Colombia and six states in Mexico. Our vision is to Extend the Healing Ministry of Jesus Christ. A national leader in patient satisfaction, advanced technology and quality initiatives, CHRISTUS Trinity Mother Frances Health System is a faith-based, not-for-profit organization dedicated to creating healthy lives for people and communities. 

Requirements:

Must be licensed in the state of TX or be eligible to be licensed

PA or NP with First Assist Certification is Required for this Position

Experience in neurosurgery is preferred 

Work Type:

Full Time

Recruiter:

Richelle Howell

richelle.howell@christushealth.org

Ready to take the next step in your career with a mission-driven, innovative, and physician-led team? Join CHRISTUS Health in Tyler, TX

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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