Registered Nurse First Assistant - Surgical Services (Per Diem)
- Night differential $8.00/hr
- 10-hour shifts
- PRN / per diem
- BLS
- ACLS
- PALS
- RN license
How this pay compares
This posting states $89.37–$119.53 an hour. Open operating room nurse jobs in California post a median of $72.42 an hour, the middle half $65.19–$81.76, across 119 jobs that state their pay, so this one is above the middle half of what they post. Operating room nurses employed in California earn a median of $67.44 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Operating room nurses in California: pay by town and employer
The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly
Medicare rating of Community Hospital of the Monterey Peninsula
Medicare gives Community Hospital of the Monterey Peninsula 4 of 5 stars (Jul 2026; California's hospitals average 3.1). 82% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 39% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · California hospitals by rating.
What this hospital paid
By Community Hospital of the Monterey Peninsula's report to Medicare, its registered nurse hours averaged $102.55 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $85.20 an hour across California's hospitals. An average over every such hour, not this job's pay: the posting states its own. What California hospitals pay nurses.
Public Service Loan Forgiveness
Medicare lists Community Hospital of the Monterey Peninsula as a non-profit hospital: the kind of employer PSLF counts (a government organization or a 501(c)(3) non-profit) for its own full-time staff, toward forgiveness of federal Direct Loans after 120 qualifying payments. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.
What California law says about nurse staffing
- Minimum nurse-to-patient ratios: General acute care hospitals must keep licensed nurse-to-patient ratios by unit, for example 1:2 in critical care and 1:5 in medical-surgical units. Cal. Code Regs. tit. 22, § 70217(a) (source: Cal. Code Regs. tit. 22, § 70217(a))
Registered nurse and LPN jobs in our research
- How long these jobs stay listed: Median days to removal 28.0 days · Still listed at 7 days 80.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
- How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Welcome to Montage Health’s application process!
Job Description
Position Summary
The RNFA is directly responsible to the Director of Surgical Services and functions under the direct supervision of the surgeon. The RNFA provides first-assist services during surgical procedures, performs perioperative nursing responsibilities, and ensures high-quality patient care throughout the surgical experience.
Experience
Minimum of 2 years perioperative nursing experience required.
Demonstrates knowledge of surgical anatomy, physiology, and operative technique as it relates to the surgical procedures for which the RNFA will be assisting.
Education
Bachelor’s degree in nursing preferred.
Successful completion of accredited RNFA program which includes didactic and minimum 120 hours clinical.
Must pass orientation and initial competency assessment prior to independent assignment of patients requiring the applicable skill, and must complete and pass all annual competencies.
Licensure:
State of California RN license required. American Heart Association Healthcare Provider BLS required. ACLS certification must be obtained prior to completion of orientation and independent assignment. CNOR required. PALS certification preferred.
Must complete the Medical Staff credentialing process for Advanced Healthcare Providers.
Equal Opportunity Employer
#LI-DNI
Assigned Work Hours
10-hour shifts
Per Diem
Call required
Position Type
Per Diem
Pay Range (based on years of applicable experience):
$89.37
to
$119.53
The hours employees work determine when a shift differential is paid.
Hourly Evening Shift Differential: $5.50
Hourly Night Shift Differential: $8.00
From Montage Health's job posting, checked 12 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Montage Health
Montage Health hires therapists, nurses and mental health staff in Monterey, California.
Hires in CaliforniaPay on its listings: 89.7% of its open jobs state an hourly rate
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