1099 Surgical First Assist – Robotics, Spine & Orthopedics- San Antonio, TX
- Contract
How this pay compares
This posting does not state an hourly rate. Open surgical first assistant jobs in Texas post a median of $39.58 an hour, the middle half $39.17–$41.73, across 3 jobs that state their pay. Surgical first assistants employed in Texas earn a median of $31.22 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).
Surgical first assistants in Texas: pay by town and employer
About the job
Overview
MPOWERHealth | Contract Opportunity | Experienced First Assists Wanted
Put Your Surgical Expertise to Work with MPOWERHealth!
Are you an experienced Surgical First Assist looking for a 1099 opportunity where you can put your skills to work alongside surgical teams?
At MPOWERHealth , we're seeking skilled, confident, and highly motivated Surgical First Assists with robotics, spine, and orthopedic experience to join our growing network of independent contractors.
We recognize the value experienced First Assists bring to the operating room. We're looking for professionals who can step into the OR with confidence, anticipate surgeon needs, and deliver exceptional surgical support.
If you thrive in a fast-paced surgical environment, enjoy collaborating with experienced surgeons, and take pride in delivering excellent patient care, we'd love to connect with you!
Responsibilities
What You’ll Do
Provide Expert Surgical Support
- Serve as a trusted First Assist during robotic, spine, and orthopedic surgical procedures .
- Assist surgeons with exposure, retraction, tissue manipulation, hemostasis, and wound closure within your scope of practice.
- Anticipate surgeon needs and contribute to efficient surgical workflows.
- Collaborate with surgeons, anesthesia providers, and OR staff to ensure safe, high-quality patient care.
- Maintain sterile technique and adhere to established surgical protocols.
Support Seamless Surgical Operations
- Assist with preoperative preparation and surgical positioning.
- Ensure surgical equipment and instrumentation are ready for procedures.
- Communicate effectively with surgical teams to support smooth case transitions.
- Complete required clinical documentation accurately and efficiently.
Bring Your Experience and Expertise
- Adapt confidently to different surgeons, procedures, and OR environments.
- Demonstrate strong clinical judgment and independent problem-solving skills.
- Contribute to a collaborative, professional, and patient-focused surgical environment.
Qualifications
What You Bring
Required Qualifications
Minimum 2 years of hands-on Surgical First Assist experience.
- Robotic surgery experience required , including familiarity with robotic-assisted procedures.
Spine surgery experience required.
Orthopedic surgery experience required.
- Experience working in a fast-paced operating room environment.
- Ability to work independently and integrate seamlessly with surgical teams.
- Strong communication, critical thinking, and clinical decision-making skills.
- Appropriate licensure, certification, and credentials for the role.
Accepted Credentials
Candidates must hold at least one of the following credentials:
- PA-C – Physician Assistant-Certified
- NP with RNFA – Nurse Practitioner with Registered Nurse First Assistant credentials
- RNFA – Registered Nurse First Assistant
- CSFA/CSA – Certified Surgical First Assistant / Certified Surgical Assistant
#IND456
From MPOWERHealth's job posting, checked Oct 28, 2026. The employer's own page is the final word on requirements and availability.
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About MPOWERHealth
MPOWERHealth hires advanced practice providers, surgical techs and allied health staff in 12 states.
Hires in 12 statesPay on its listings: 0% of its open jobs state an hourly rate
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