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Nurse Practitioner Rnfa Jobs (NOW HIRING)

Rochester

$98K - $132K/yr

If NP, RNFA preferred as this position will include OR first assisting, though not initially required. Must have excellent communication and team facilitation skills. Nurse Practitioner Require a ...

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$41.5K

$130.3K

$200K

How much do nurse practitioner rnfa jobs pay per year?

As of Jul 16, 2026, the average yearly pay for nurse practitioner rnfa in the United States is $130,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $108,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is a Nurse Practitioner RNFA?

A Nurse Practitioner RNFA, or Registered Nurse First Assistant, is an advanced practice nurse who assists surgeons during surgical procedures. In addition to performing traditional nursing duties, RNFAs are trained to help with tasks such as suturing, controlling bleeding, and providing wound exposure. Nurse Practitioner RNFAs must complete specialized education and certification to perform these responsibilities. They work closely with surgeons, anesthesiologists, and surgical teams to ensure patient safety and optimal outcomes during surgery.

How does a Nurse Practitioner RNFA typically interact with surgical teams during procedures?

As a Nurse Practitioner RNFA (Registered Nurse First Assistant), you play a vital role in the operating room by working closely with surgeons, anesthesiologists, and perioperative nurses. You may assist with surgical procedures, provide direct patient care before, during, and after surgery, and help with tasks such as suturing, controlling bleeding, and tissue handling. Effective communication and collaboration with the surgical team are essential to ensure patient safety and smooth workflow. This role offers opportunities to develop advanced clinical skills and often serves as a bridge between surgical and nursing teams for optimal patient outcomes.

What is the difference between Nurse Practitioner Rnfa vs Physician Assistant?

AspectNurse Practitioner RnfaPhysician Assistant
CredentialsMaster's or Doctorate in Nursing, RN license, Rnfa certificationMaster's or Bachelor's degree in Physician Assistant Studies, PA certification
Work EnvironmentClinics, hospitals, primary care settingsHospitals, clinics, specialty practices
Scope of PracticeDiagnose, treat, prescribe, often with some autonomy depending on state lawsDiagnose, treat, prescribe, generally under physician supervision or collaboration

Both Nurse Practitioner Rnfa and Physician Assistant roles involve diagnosing and treating patients, but Nurse Practitioners often have more autonomy in primary care settings, especially with Rnfa certification. PAs typically work under physician supervision but have a broader scope in certain specialties. The choice depends on your preferred work environment and scope of practice.

What are the key skills and qualifications needed to thrive as a Nurse Practitioner RNFA, and why are they important?

To thrive as a Nurse Practitioner RNFA, you need advanced clinical assessment skills, surgical assisting expertise, and at minimum a master's degree in nursing along with RNFA certification. Familiarity with surgical instruments, electronic health records (EHRs), and perioperative care systems is essential for this role. Critical thinking, strong communication, and teamwork are key soft skills that help coordinate patient care and collaborate with surgical teams. These skills and qualities ensure safe, effective patient outcomes and seamless support throughout the perioperative process.
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What cities are hiring for Nurse Practitioner Rnfa jobs? Cities with the most Nurse Practitioner Rnfa job openings:
What job categories do people searching Nurse Practitioner Rnfa jobs look for? The top searched job categories for Nurse Practitioner Rnfa jobs are:
Nurse Practitioner Rnfa jobs near you
Infographic showing various Nurse Practitioner Rnfa job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 60% Full Time, 18% Part Time, and 19% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $130,295 per year, or $62.6 per hour.
Nurse Practitioner or Physician Assistant - CMC Cardiac Catheterization Services - Integrated - Ful

Nurse Practitioner or Physician Assistant - CMC Cardiac Catheterization Services - Integrated - Ful

John Muir Health

Concord, CA

$94.86 - $142.30/hr

Full-time

Posted 5 days ago

John Muir Health rating

8.8

Company rating: 8.8 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

21st of 1,020 rated hospitals

Job description

Job Description:Nurse Practitioner - provides medical evaluation and treatment of John Muir Health patients in collaboration with and under the direction of the Supervising Physician. The NP performs duties according to standardized procedures which have been developed collaboratively by John Muir Medical Center administration, medical staff, nursing, Supervising Physician, and other Advanced Practice Providers and approved by the Medical Executive Committee and the Governing Board. The NP possesses preparation and skills in physical diagnosis, psycho-social assessment, and management of health and illness needs. The NP assesses, diagnoses, and treats patients, provides information to patients on health maintenance and disease prevention, and counseling. The NP provides healthcare in a collegial relationship with physicians and surgeons to patients in a variety of settings. The NP performs required medical record documentation, patient messaging, and other required documentation. The NP does not perform invasive procedures or assist in surgery in the operating room.
Physician Assistant - Non-Surgical (PA-NS) provides medical evaluation and treatment of John Muir Medical Center patients in collaboration with and under the direction of the Supervising Physician. The PA-NS performs duties according to standardized procedures which have been developed collaboratively by John Muir Medical Center administration, medical staff, nursing, Supervising Physician, and other Advanced Practice Providers and approved by the Medical Executive Committee and the Governing Board. The PA-NS possesses preparation and skills in physical diagnosis, psycho-social assessment, and management of health and illness needs. The PA-NS assesses, diagnoses, and treats patients, provides information to patients on health maintenance and disease prevention, and counseling. The PA-NS provides healthcare in a collegial relationship with physicians and surgeons to patients at John Muir Medical Center. The PA-NS does not perform invasive procedures or assist in surgery in the operating room.
Nurse Practitioiner:Education:

  • Graduate of an Accredited School of Nurse Practitioner Program (MSN or DNP) - Required
     

Experience:

  • 2 years Healthcare – Experience in specialty - Preferred

Certifications/Licensures:

  • RN Registered Nursing - California Board of Nursing - Required and

  • NP Registered Nurse Practitioner - CA Board of Registered Nursing - Required and

  • NP-F Registered Nurse Practitioner Furnishing - CA Board of Registered Nursing - Required and

  • FNP Family Nurse Practitioner - ANCC American Nurses Credentialing Center - Required or

  • Related NP clinical license or certification through ANCC or

  • NP Nurse Practitioner - AANP American Academy of Nurse Practitioners – Required

  • DEA Drug Enforcement Agency - US Dept of Justice - Drug Enforcement Administration - Required

  • BLS Basic Life Support - American Heart Association – Required

  • ACLS Advanced Cardiac Life Support - American Heart Association – OR – ATLS Advanced Trauma Life Support – American College of Surgeons - Preferred depending upon Surgical Specialty NP/RNFA Requirements group Common requirements group

Physician Assistant:

Education:

  • Graduate of an Accredited School of Physician Assistant - Required

Experience:

  • 2 years Healthcare – Experience in specialty - Preferred

Certifications/Licensures:

  • PA Physician Assistant - PAB California Board of Physician Assistant Board - Required

  • CPA Certified Physician Assistant - NCCPA National Commission on Certification of Physician Assistants - Required

  • DEA Drug Enforcement Agency - US Dept of Justice - Drug Enforcement Administration - Required

  • BLS Basic Life Support - American Heart Association – Required

  • ACLS Advanced Cardiac Life Support - American Heart Association – OR – ATLS Advanced Trauma Life Support – American College of Surgeons - Preferred depending upon Surgical Specialty

Work Shift:08.0 - 07:00 - 16:00 No Waive (United States of America)

Pay Range:

$94.86 - $142.30Hourly
Offer amounts are based on demonstrated/relevant experience and/or licensure.
Pay will be adjusted to the local market if hired outside of the Bay Area.

Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word ‘exempt’ on it.
Scheduled Weekly Hours:40

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