1099 Surgical First Assist – Robotics, Spine & Orthopedics- San Antonio, TX

MPOWERHealth•San Antonio, TX

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About The Position

MPOWERHealth is seeking experienced Surgical First Assists for a 1099 independent-contractor opportunity in San Antonio, Texas. The role supports robotic, spine, and orthopedic surgical procedures. The First Assist works alongside surgeons and operating-room teams to provide skilled surgical assistance and help deliver safe, high-quality patient care in fast-paced surgical environments. The successful candidate can adapt to different surgeons, procedures, and OR environments; anticipate surgeon needs; and contribute to efficient workflows. Candidates must have at least two years of hands-on Surgical First Assist experience, including experience in robotic, spine, and orthopedic surgery, and must hold at least one of the listed credentials.

Requirements

At least 2 years of hands-on Surgical First Assist experience.
Robotic surgery experience, including familiarity with robotic-assisted procedures.
Spine surgery experience.
Orthopedic surgery experience.
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.
Hold at least one accepted credential: PA-C (Physician Assistant-Certified); NP with RNFA credentials; RNFA (Registered Nurse First Assistant); or CSFA/CSA (Certified Surgical First Assistant / Certified Surgical Assistant).

Responsibilities

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 scope of practice.
Anticipate surgeon needs and contribute to efficient surgical workflows.
Collaborate with surgeons, anesthesia providers, and operating-room staff to ensure safe, high-quality patient care.
Maintain sterile technique and follow established surgical protocols.
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.
Adapt to different surgeons, procedures, and operating-room environments.
Use clinical judgment and independent problem-solving skills.
Contribute to a collaborative, professional, and patient-focused surgical environment.