Remote Registered Nurse First Assistant Jobs
Remote Registered Nurse First Assistant jobs are open across the U.S. at healthcare organizations and distributed clinical teams hiring nurses with surgical assist experience for telehealth coordination, case review, and perioperative support roles. Employers hiring remotely right now include M&T Bank, Tell Me More, and Freed Marcroft. Find a role that fits below and apply directly.
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Hamilton MillerBirthisel LLP is a premier insurance defense trial law firm with a presence spanning Florida, New York, Virginia, Puerto Rico, Jamaica, the U.S. Virgin Islands, and The Bahamas. We are nationally recognized for our work in insurance defense, admiralty and maritime law, transportation and trucking, personal injury, premises liability, professional malpractice defense, construction, subrogation, and products liability litigation.
The firm holds an AV® Preeminent rating-the highest peer-review distinction from Martindale-Hubbell-and is consistently ranked among the most diverse law firms in South Florida. Our attorneys are known for delivering swift, lucrative results, backed by a 24/7 emergency action response team serving clients in domestic and international jurisdictions.
No agency submissions accepted.
GENERAL SUMMARY:
The First-Party Property Paralegal provides litigation and discovery support to the First-Party Property practice group attorneys. The role manages subpoenas and the discovery workflow, reviews and analyzes records, identifies key facts-including, and coordinates with providers, vendors, and experts. The position requires strong organization, initiative, and experience operating independently within defense litigation.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Draft, serve, and respond to discovery and subpoenas; track deadlines and deficiencies; maintain logs and ticklers; prepare and follow up on record and deposition subpoenas, including HIPAA compliance and chain of custody.
- Intake, organize, and summarize records; create medical chronologies; identify gaps and flag issues such as prior injuries, pre-existing conditions, and causation.
- Identify treating/referring and anticipated providers; coordinate IMEs and expert engagement; prepare expert notebooks.
- Conduct legal and factual research (LexisNexis/Westlaw); draft pleadings, discovery, subpoenas duces tecum, deposition summaries, and trial/pretrial materials.
- Manage calendars and critical deadlines; schedule depositions, hearings, mediations, IMEs, and related travel; coordinate with courts, clients, vendors, providers, experts, and opposing counsel.
- E-file in state and federal courts; prepare exhibit and hearing binders; coordinate court reporters and interpreters.
ESSENTIAL SKILLS, ABILITIES AND COMPETENCIES:
- Proven proficiency in defense First-Party Property discovery and subpoena practice.
- Expertise reviewing medical records, preparing chronologies, and mapping providers; ability to spot gaps and escalation issues.
- Strong organization, time management, and attention to detail across multiple matters.
- Professional written and verbal communication; effective stakeholder management.
- Technical proficiency with LexisNexis or Westlaw and at least one records platform (e.g., Magna Record, Ontellus, or comparable); comfort with case/document management systems and standard office software.
- Resourceful, proactive, and able to work independently within established procedures
EDUCATION AND EXPERIENCE:
- 3-5+ years paralegal experience supporting a First-Party Property defense practice group.
- Paralegal certificate or equivalent combination of education and experience; bachelor's degree preferred.
- Trial-prep exposure (exhibit lists, witness prep, trial notebooks); existing network of experts/providers or a defined plan to develop one; prior experience with the firm's (or similar) case-management system.
Our Culture - Collaborate with a Dynamic Legal Team
At Hamilton MillerBirthisel, we cultivate talented individuals who bring fresh perspectives and innovative ideas. We offer a vibrant, inclusive culture where professional growth is celebrated, and success thrives through innovation, diversity, and collaboration. Your voice will be heard, your contributions valued, and your potential realized.
Equal Employment Opportunity Statement
Hamilton MillerBirthisel LLP is an equal opportunity employer and prohibits discrimination or harassment of any kind-for any protected characteristic under federal, state, or local law, including race, color, religion, sex (including pregnancy), sexual orientation, gender identity, national origin, age (40+), disability, genetic information, veteran status, marital status, and more. We provide reasonable accommodations for disabilities, pregnancy, religion, and other protected needs and protect confidentiality and non-retaliation for individuals who raise discrimination concerns or participate in investigations.
DISCLAIMER: The preceding job description has been designed to indicate the general nature and level of the work performed by the employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and/or qualifications required of employees assigned to this job. For this position may be modified at the Firm's discretion at any time. This job description does not change the at-will nature of employment.
No agency submissions accepted.
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Find JobsRemote Registered Nurse First Assistant Job Market
Who's Hiring

What Employers Look For
The qualifications that appear most often in remote registered nurse first assistant jobs.
- Active RN licensure in the state of practice with no restrictions
- Completion of an accredited RNFA program recognized by AORN
- CNOR certification required or expected within a defined period
- Minimum of two years perioperative or scrub experience before first-assist
- ACLS certification current at time of hire
- Demonstrated proficiency in tissue handling, suturing, and hemostasis techniques
Tips for Your Remote Registered Nurse First Assistant Job Search
Apply early to remote roles that fit
Migrate Mate lists remote registered nurse first assistant openings from across the U.S. in one place. Search for roles that match your license, surgical specialty, and availability, then apply directly while postings are fresh.
Show your EHR and telehealth platform fluency
Remote employers screen for hands-on experience with electronic health records systems and telehealth tools. Name the specific platforms you have used, such as Epic, Cerner, or Zoom for Healthcare, in your application materials so hiring teams can see your readiness to work without on-site IT support.
Demonstrate your asynchronous clinical communication
Remote registered nurse first assistant roles depend on clear written handoffs and documentation that stand alone without verbal clarification. Use your cover letter or application notes to show how you have coordinated surgical prep, case reviews, or post-op follow-ups through written communication across distributed care teams.
Prepare for competency-based remote interviews
Remote hiring panels for registered nurse first assistants often use scenario questions to assess independent clinical judgment. Practice walking through how you handle intraoperative decisions, physician communication, and documentation without in-person backup, since remote employers want to hear your process, not just your credentials.
Remote Registered Nurse First Assistant Jobs: Frequently Asked Questions
How do I get a remote registered nurse first assistant job?
Remote registered nurse first assistant roles go to candidates who can demonstrate strong asynchronous communication, rigorous documentation habits, and the ability to coordinate care decisions without in-person supervision. Employers hiring remotely screen for experience with electronic health records, telehealth platforms, and virtual care coordination. Candidates who can articulate how they manage clinical workflows independently and communicate clearly across distributed teams consistently stand out in remote hiring.
Can you get a remote registered nurse first assistant job with no experience?
Yes, but remote entry-level positions are harder to land because employers expect you to work independently from the start without on-site mentorship. Telehealth companies and remote clinical operations teams are the most likely to consider newer graduates. Demonstrating proficiency with EHR platforms, completing surgical tech or perioperative training, and showing documented experience in clinical settings, even from clinicals or volunteer work, can open the door.
Do you need a degree for remote registered nurse first assistant jobs?
Usually, yes. Remote employers in this role require an active RN license at minimum, and most postings expect completion of an accredited RNFA program or equivalent surgical nursing training. What remote employers weigh alongside credentials is practical clinical documentation experience, comfort with remote communication tools, and a record of managing care coordination without direct supervision.
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