Become a Nurse in Missouri: Requirements, Licensing, and Employment Outlook
Anyone aspiring to become a registered nurse (RN) in Missouri can anticipate numerous job opportunities in the field. The 2020 Workforce Report for Missouri reveals that the state boasts a workforce of over 100,000 RNs, and projections indicate a potential 16.2% growth in the number of RNs from 2018 to 2028, surpassing the anticipated national growth rate. If you’re considering a nursing career in Missouri, this guide provides comprehensive insights into nursing programs, the necessary steps to kickstart your career, and what you can expect from the job market, including details on RN salaries.
Degree Requirement
– Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)
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License Requirement
– Registered nursing license
Fees
– License: $105
– Renewal: $85-$135
Job Outlook
– 16.2% growth from 2019-2029
This detailed manual addresses commonly asked questions about nursing programs in Missouri, the process of becoming a nurse, job opportunities, and insights into RN salaries in the state.
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How to Become a Nurse in Missouri
Aspiring nurses in Missouri have various paths to initiate their careers, with additional options for professional growth. Regardless, all RNs must possess a college degree, pass the National Council Licensure Examination-RN (NCLEX-RN), and obtain a state license. The typical steps for most nurses include:
1. Apply to an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN) Program:
– Both degrees equip individuals with the necessary skills for success in the nursing field. While a two-year ADN is sufficient for obtaining a nursing license, approximately 52% of Missouri’s RNs hold a four-year BSN.
2. Pass the NCLEX-RN Exam to Receive RN Licensure:
– The NCLEX-RN assesses nursing knowledge, and passing this exam is a prerequisite for seeking licensure from Missouri’s nursing board.
3. Apply for Jobs at Local Hospitals:
– Seek employment opportunities at hospitals in Missouri that hire newly licensed RNs.
4. Advance Your Career With a Graduate Degree or Certification:
– Pursue a graduate degree for access to advanced nursing roles with increased responsibilities and higher salaries. Specialized certifications, such as in neonatal or pediatric nursing, can also enhance career prospects.
5. Maintain and Renew Licensure and Certifications:
– RNs must renew their licenses every two years. Missouri differs from many states in that it doesn’t mandate continuing education courses for renewal.
Missouri Board of Nursing
The Missouri Board of Nursing serves as a valuable resource for licensing information. As part of the Missouri Division of Professional Registration, the board establishes rules and guidelines for the state’s nurses.
The board is responsible for issuing, renewing, and revoking credentials for RNs, licensed practical nurses, and advanced practice registered nurses. Visit the board’s website for application forms, license renewal details, educational resources, workforce reports, and general information regarding the scope of practice for RNs.
How to Get Your Nursing License in Missouri
Prospective RNs in Missouri can pursue licensure through two avenues. Recent graduates achieve licensure through examination, involving earning an associate or bachelor’s degree in nursing and passing the NCLEX-RN.
Nurses licensed in another state seeking to practice in Missouri must apply for licensure by endorsement, demonstrating compliance with Missouri’s licensing requirements.
Licensure for New Nurses
First-time nurses must obtain an approved degree, submit transcripts, undergo a background check, and pass the NCLEX-RN. Notably, Missouri does not impose an application fee for first-time exam-takers.
Recent graduates can practice as graduate nurses for up to 90 days after completing their degree while awaiting the NCLEX-RN.
RN Licensure Eligibility Requirements
– ADN or BSN from an accredited or approved higher education institution
– Final college transcripts
– Passing NCLEX-RN score
– Background check with fingerprinting
– Proof of U.S. citizenship or lawful residence
Steps to Apply for RN Licensure
While the board’s website provides detailed instructions for licensure applications, here’s a condensed version of the process:
1. After earning a nursing degree, complete and notarize the application form.
2. Submit proof of U.S. citizenship or lawful presence.
3. Request your transcripts to be sent to the Missouri Board of Nursing.
4. Undergo a criminal background check with fingerprinting.
5. Register for the NCLEX-RN, ideally 3-4 weeks before graduation.
6. Receive your NCLEX-RN results within approximately three days.
7. If you pass the exam, the board grants permission to practice as an RN.
Licensure for Nurses From a Different State
Nurses holding licenses from other states who wish to obtain licensure in Missouri follow a distinct application process. They have the option to either validate their RN licensure from their original state or commence practice without any documentation if they possess the appropriate multistate license.
Steps to Apply for RN Licensure
Missouri actively participates in the Nursing Licensure Compact (NLC). Nurses licensed in NLC states can practice freely in other participating states without the need for additional licensure, provided they possess a multistate license from their home state.
Nurses from non-NLC states can follow these steps:
1. Enroll in the Nursys e-Notify portal to receive a temporary permit through the system.
2. Complete and sign the application form, ensuring it is notarized.
3. Submit evidence of U.S. citizenship or proof of lawful presence in the country.
4. Undergo a criminal background check with fingerprinting.
5. Request verification of the original state license from Nursys.com.
6. Request an official final transcript to be sent to the Missouri Board of Nursing.
How to Renew Your Nursing License in Missouri
In Missouri, RN licenses expire on April 30 of each odd-numbered year. Nurses can receive renewal reminders through Nursys.com. The deadline for renewal is three business days before the April 30 expiration date.
Missouri nurses are not required to complete continuing education or professional development courses for license renewal. Renewal can be conveniently done online through the Nursys system. RNs with lapsed licenses must submit a petition for relicensure, proof of U.S. citizenship or residency, and undergo a background check.
The board imposes an $85 renewal fee for inactive licenses and a $135 fee for lapsed licenses. Those who renew before the April 30 deadline are exempt from a fee.
Salary and Employment for Nurses in Missouri
According to the Bureau of Labor Statistics, the average RN salary in Missouri is $65,900 — notably lower than the national average of $80,010.
However, Missouri’s cost of living is relatively low, with U.S. News & World Report ranking it as the nation’s eighth most affordable state. Missouri RNs also enjoy a higher average annual wage than the state’s general mean wage of $50,140.
Additionally, the employment outlook for RNs in Missouri far exceeds the national figure. Projections Central indicates that the RN profession in Missouri could experience a 16.2% growth from 2018-2028, compared to a 7% growth on a national scale during the same timeframe.
The following table outlines RN salaries in Missouri by metropolitan area.
| Metropolitan Area | Median Annual Salary |
|---|---|
| Kansas City | $69,680 |
| St. Louis | $66,250 |
| Columbia | $64,120 |
| St. Joseph | $63,520 |
| Jefferson City | $61,390 |
Source: BLS
Best Hospitals to Work at in Missouri
The following hospitals, listed by U.S. News & World Report among the best in Missouri, rank based on factors such as patient outcomes and experiences, available specialty procedures, and effectiveness in treating common conditions. These hospitals, all in the top 10, employ thousands in their respective communities.
Barnes-Jewish Hospital
Affiliated with the Washington University School of Medicine, this teaching hospital employs nearly 10,000 individuals and offers multiple specialty services, including lung care, transplant services, and orthopedics. The hospital has also pioneered certain medical procedures, restoring a patient’s voice with an artificial larynx in 2003. The American Nurses Credentialing Center designated Barnes-Jewish Hospital a Magnet Hospital in 2008, 2013, and 2018.
Saint Luke’s Hospital of Kansas City
Operating as part of Saint Luke’s larger faith-based, nonprofit healthcare system in the Kansas City region, the hospital provides services in over 60 medical specialties, including dermatology, infusion therapies, and neurology.
Missouri Baptist Medical Center
With approximately 2,600 employees, MoBap cares for over 22,000 admissions each year. The medical center offers a variety of patient services and specializes in women’s health, neonatal care, and neurosciences. MoBap also runs a cancer center, advancing treatment with research and clinical trials.
Boone Hospital Center
Boone Health, based in Columbia, is a full-service hospital caring for patients in 25 counties in mid-Missouri. The center’s physicians and nurses treat patients at the 24-hour emergency center, providing services in cardiology, neurology, oncology, and orthopedics, among other specialties.
Mercy Hospital Springfield
Founded by the Sisters of Mercy in 1891, this hospital remains affiliated with the Catholic church. Boasting nearly 900 beds, Mercy serves southwest Missouri and northwest Arkansas, including a Level 1 trauma and burn center, a children’s hospital, and a cancer center. The hospital system employs almost 5,000 individuals.
Resources for Nurses in Missouri
Missouri Board of Nursing
The Missouri Board of Nursing establishes and enforces rules regarding nursing licensure in the state. Nurses apply for and renew their licenses through the board. The board’s website offers valuable information about renewal, educational requirements, and the state’s nursing workforce.
Missouri Nurses Association
Founded in 1906, the Missouri Nurses Association represents over 90,000 RNs throughout the state. As a constituent member of the national American Nurses Association, both groups provide educational programs and opportunities to connect with other nurses. The association also advocates for the nursing profession in state government through its political action committee.
Association of Missouri Nurse Practitioners
This association offers a range of resources for prospective nurse practitioners. Members can access a job board, attend an annual conference, take advantage of continuing education opportunities, or get politically involved through the organization’s committees and boards.
National Nurses United (Missouri)
As part of the larger National Nurses United, this state group is a professional association and union promoting progressive policies in the nursing field. Established in 2009, NNU organizes campaigns on topics such as racial and environmental justice and offers scholarships for members across the country.
Frequently Asked Questions
How do I become a nurse in Missouri?
Nurses in Missouri must complete an approved or accredited nursing program in Missouri, earn an ADN or BSN, and pass the NCLEX-RN. If you move to Missouri from out of state, you can practice with a multistate NLC license or apply for licensure by endorsement electronically.
What is the number one nursing school in Missouri?
Several nursing programs in Missouri offer high-quality education, including public schools like the University of Missouri and private institutions like Washington University in St. Louis. St. Louis University ranks among the top 50 nursing schools according to U.S. News & World Report, while the University of Missouri – Kansas City is 23rd in the list of best online nursing schools.
How long does it take to become an RN in Missouri?
The duration to become an RN in Missouri depends on the chosen educational pathway. ADN programs typically last two years, while earning a BSN usually takes four years. Part-time students may take longer to graduate. Many nurses begin as licensed practical nurses and enroll in accelerated bridge programs to expedite their degree completion.
How many clinical hours do you need for an RN in Missouri?
The number of clinical hours required before becoming an RN in Missouri varies based on the degree pursued. Each nursing program in Missouri incorporates different supervised clinical experiences.
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