Outpatient Registered Nurse Jobs in Missouri
Outpatient Registered Nurse jobs in Missouri are consistently active, with steady demand concentrated in physician group practices, federally qualified health centers, and specialty clinic networks serving both urban and rural communities. The largest hiring activity is in Kansas City, St. Louis, and Springfield, where systems like BJC HealthCare, Saint Luke's Health System, and Mercy Health anchor the outpatient workforce. Oncology, diabetes management, and primary care case management are the most in-demand specialties for outpatient RNs across the state. Find a role that fits below and apply directly.
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Summary
This RN is assigned to the Primary Care - Patient Aligned Care Team (PACT) team at the Saint James CBOC. This position will be located temporarily in St. James, MO until our new facility in Rolla, MO becomes operational; projected March 1st, 2027.
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This job is open to
The public
Clarification from the agency
All US Citizens NOTE: The 2-page Resume requirement does not apply to this position.
Duties
The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The PACT RN executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex primary care. Duties may include but are not limited to:
- Leads and organizes delivery of care to ensure continuity of care and peer accountability for practice in alignment with the ANA Standards of Nursing Practice.
- Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making, and evaluating outcomes beyond the immediate practice setting.
- Applies nursing expertise to lead improvement, with demonstrated outcomes, beyond the immediate practice setting.
- Demonstrates ability to be self-directed in using the nursing process to improve the outcomes of care at the program/service level.
- Applies collaborative team approach in identifying, analyzing, resolving problems, and sustaining improvements.
- Applies problem solving skills beyond the unit level, leading to improved care/outcomes.
- Leads and directs others in organizing the delivery of care to assure continuity of care and peer accountability for practice.
- Evaluates program/process or medical center policies//procedures and reports effectiveness or provides leadership, analyzing and addressing ethical legal issues that impact patients and staff and the medical center.
Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
Work Schedule: Monday - Friday, 8 am to 430 pm
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Requirements
Conditions of employment
- U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
- Selective Service Registration is required for males born after 12/31/1959.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical evaluation. Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- You may be required to serve a probationary period.
- Complete all application requirements detailed in the "Required Documents" section of this announcement.
Qualifications
Basic Requirements:
- English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
- Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)
Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13099428.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Desirable Factors: Previous ambulatory care experience, strong medical/surgical background. Highly prefer 3 years of nursing experience.
Additional information
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Required Documents
To apply for this position, you must provide a complete Application Package which includes:
- Long-form resume/Curriculum vitae (CV)
The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position.
- Cover Letter
- DD-214/ Statement of Service
- Disability Letter (Schedule A)
- Disability Letter (VA)
- License
- Long-form resume/Curriculum vitae (CV)
- Other (1)
- PCS Orders
- Performance Appraisal
- Professional Certification
- Separation Notice (RIF)
- SF-15
- SF-50/ Notification of Personnel Action
- Transcript
Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/02/2026 to receive consideration. To preview the questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/13099428.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
Agency contact information
800 Hospital Drive
Columbia, MO 65201
US
Next steps
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued, and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
Overview
- 0610 Nurse
- Credentialing
- Suitability/Fitness
See All 24 Outpatient Registered Nurse Jobs in Missouri
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Find JobsOutpatient Registered Nurse Jobs by City in Missouri
Where Missouri roles are concentrated, by current openings.
Outpatient Registered Nurse Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
What Missouri Employers Look For
The qualifications that appear most often in outpatient registered nurse jobs across Missouri.
- Active registered nurse license issued or recognized by the Missouri State Board of Nursing
- Associate or bachelor's degree in nursing from an accredited program
- Current BLS certification required prior to start date
- Minimum one year of clinical nursing experience in an outpatient or ambulatory setting
- Proficiency with electronic health record systems such as Epic or Cerner
- Strong patient education and care coordination skills for a high-volume clinic environment
Outpatient Registered Nurse Jobs in Missouri: Frequently Asked Questions
How do you become a outpatient registered nurse in Missouri?
You become a registered nurse in Missouri by completing an accredited associate or bachelor's degree in nursing, then passing the NCLEX-RN exam. Licensure is issued by the Missouri State Board of Nursing, and Missouri participates in the Nurse Licensure Compact, so nurses licensed in other compact states may practice without a separate Missouri license. Most outpatient employers prefer candidates with at least some clinical experience, though new graduates are considered for clinic-based roles in primary care and specialty practices.
How much do outpatient registered nurses make in Missouri?
Outpatient registered nurses in Missouri earn a median of about $81,780 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $63,230 for the lowest 10% to over $104,390 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire outpatient registered nurses in Missouri?
Employers hiring outpatient registered nurses in Missouri right now include Fresenius Medical Care, Mosaic Life Care, and SSM Health, based on current listings on Migrate Mate as of October 2026. Missouri's large integrated health systems and multispecialty physician groups consistently post outpatient RN openings, particularly in the Kansas City and St. Louis metro areas.
Which Missouri cities have the most outpatient registered nurse jobs?
St. Louis, Kansas City, and Saint Joseph are the Missouri cities with the most outpatient registered nurse openings. Kansas City and St. Louis drive the largest share of listings because they are home to Missouri's biggest health systems and highest concentrations of specialty clinic networks, while Springfield's strong regional medical presence from Mercy and CoxHealth supports a meaningful volume of openings in the southwestern part of the state.
Are there remote outpatient registered nurse jobs in Missouri?
Yes, but they're rare. Outpatient nursing is fundamentally a hands-on, patient-facing role, which limits how much of the work can move off-site. About 33% of outpatient registered nurse openings tied to Missouri are remote or hybrid as of October 2026, and those positions tend to involve telephonic triage, care management, or utilization review rather than direct clinic care.
How can I get hired as a outpatient registered nurse in Missouri with little or no experience?
The most realistic entry path is applying to new-graduate nurse residency programs, which BJC HealthCare, Mercy Health, and Saint Luke's Health System all operate in Missouri for RNs with limited post-licensure experience. Clinic coordinator, medical assistant, and patient care technician roles at outpatient practices are common lateral moves that build familiarity with ambulatory workflows and make candidates more competitive. Holding an active Missouri RN license through the State Board of Nursing and a current BLS certification gives a new graduate a meaningful edge in the applicant pool.
Where can I find and apply to outpatient registered nurse jobs in Missouri?
You can find and apply to outpatient registered nurse jobs in Missouri on Migrate Mate, which lists current openings across the state. Search the listings to find roles that match your experience and specialty, then apply directly to the ones that fit.
See All 24 Outpatient Registered Nurse Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
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