Community Medical Centers is seeking a Registered Nurse (RN) First Assist for a nursing job in Fresno, California.

Job Description & Requirements

• Specialty: First Assist
• Discipline: RN
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours, days
• Employment Type: Staff

Overview:

*All positions are located in Fresno/Clovis CA*

Opportunities for you!  

• Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek  

• Sign-on and relocation bonus incentives available for qualified applicants 

• Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas). 

• Free Continuing Education and certification including BLS, ACLS and PALS 

• Tuition reimbursement, education programs, and scholarships 

• Vacation time starts building on Day 1, and builds with your seniority 

• 403(b) retirement plan with up to 8% matching contributions  

• Free parking and electric charging 

• Great food options with on-demand ordering 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here.  

Responsibilities:

You love what you do, now love where you do it. 

Located in downtown Fresno, Community Regional Medical Center is the region’s flagship hospital and home to the only Level I Trauma Center between Los Angeles and Sacramento. As a Registered Nurse First Assistant (RNFA) on our cardiac surgery team, you’ll be part of a 40-member team — including three RNFAs — supporting procedures across Community Regional, Clovis Community, and Fresno Heart & Surgical Hospital. 

• Provide intraoperative support under the direct supervision of the surgeon, assisting with surgical exposure, hemostasis, and other technical functions to ensure optimal outcomes. 

• Collaborate with cardiovascular surgeons and multidisciplinary teams on more than 100 cardiac surgery cases each month, helping uphold excellence, sterile technique, and evidence-based best practices. 

• Function as a Scrub or Circulating Nurse when not serving as RNFA, maintaining readiness to assist with cases across all three campuses. 

• Contribute to operational efficiency by anticipating surgeon and patient needs while fostering a culture of safety, precision, and teamwork. 

Join the largest healthcare system in the Central Valley, where your expertise helps advance cardiac care and improve outcomes for patients across the region. 

Cardiac Team Video 

Qualifications:

Education & Experience  

• Bachelor's Degree in Nursing, Public Health, Physiology, Healthcare or related field required 

• Successful completion of an RNFA program that meets the Association of Perioperative RN (AORN) standards required 

• Credentialed by the CHS Medical Staff Office as an Allied Health Professional and privileged to perform RN First Assistant standardized procedures required 

• 1 year of relevant experience required 

Licenses and Certifications  

• RN - Current and valid Registered Nurse license to work within the state of California required 

• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required 

• ACLS - Advanced Cardiac Life Support Certification required within 180 days of hire or transfer into position 

• CNOR - Certified Operating Room Nurse from the Competency and Credentialing Institute (CCI) required 

Disclaimers:

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Community Medical Centers Job ID #2​0​2​5​-​4​7​4​5​9. Posted job title: RN First Assist, Cardiac Surgery