School Nurse Jobs in Missouri
School Nurse jobs in Missouri are concentrated in K-12 public school districts, charter networks, and private and parochial schools, with consistent demand from entry-level positions through lead district nurse roles. Kansas City, St. Louis, and Springfield anchor most of the hiring, where large districts and health-connected employers like Kansas City Public Schools, St. Louis Public Schools, and SSM Health-affiliated school programs maintain ongoing school nurse rosters. Pediatric case management, special education health support, and chronic disease coordination are among the most sought-after specialties in Missouri school settings. Find a role that fits below and apply directly.
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JOB SUMMARY:
Maintains school health services as specified in Health services manual in order to realize that services maximum positive impact on the educational environment for students
ESSENTIAL DUTIES AND RESPONSIBILITIES: Additional duties may be assigned.
- Evaluates the psychosocial and physical health and development status of the students in order to make a nursing assessment and establish priority for action.
- Participates in district screening programs, referral and follow up activities.
- Works closely with principals, teachers, and /or counselors so that they are aware of students with frequent or prolonged absences and/or current health problems.
- Interprets any medical findings to the student, the parent, and appropriate school personnel. Recommendations concerning the student’s program will be made to the appropriate school personnel.
- Assists with early childhood and kindergarten enrollment screening programs.
- Assists with the district program for communicable disease controls prescribed by the state Department of Health and the School District. (References #1 & # 2).
- Maintains student immunization records.
- Supervises the Health Room, and coordinates the Health Room Assistants through a management approach. A management approach is defined as accomplishing organizational goals through collaborative efforts of all personnel (Reference 1 & 2). Nurse will provide training to the Health Room Assistants yearly as required for delegation of nursing activity and observe performance periodically throughout the school year.
- Assists in development of policies for caring for student who become ill or injured at school.
- Gives first aid and/or the appropriate nursing care to students, staff and visitors needing such care. When further attention is required, the client will be released to the care of the parent, a designated responsible person, and/or other medical/hospital personnel.
- When appropriate, notifies the parent or designated responsible person regarding the health status of the student.
- Make referrals and follow-ups on individual health concerns by telephone, written reports, or personal conference with parents and/or medical personnel.
- Gives medications only in accordance with district policy.
- Is alert to the school environment for safety hazards and sanitary conditions.
- Uses direct health services as a vehicle for health education and counseling.
- Serves as a consultant and resource person for the total health education program.
- Assists the teacher in presenting health instruction.
- Promotes wellness and self-care.
- Promotes healthy maintenance for students and school personnel.
- Serves as a screening team member in identifying, evaluating, and providing for exceptional children.
- Recommends modifications in the educational program for students when indicated by their health and/or development status.
- Assists in developing the Individual Educational Programs when appropriate.
- Coordinates the planning for the physical needs of handicapped students.
- Is accountable for nursing assessment and care given.
- Documents all nursing assessment and care.
- Evaluates nursing assessment, health screenings, and care given in accordance with state and district guidelines (Reference 1 & 2).
- Provides input into district health programs and evaluations.
- Responsible for annual CPR Certification.
- Maintains confidentially.
- Other related and appropriate duties as assigned by the building principal or the Director of Health and Wellness Services. (Reference 1 & 2)
REFERENCES:
- The Northwest R-I School District Health Services Manual.
- Prevention and control of Communicable Disease manual published by the Missouri Department of Health.
- Dental Health Guide for school Nurses published by Missouri Department Health.
- Control of Communicable Disease Manual, an official report of the American Public Health Association.
EDUCATION AND/OR EXPERIENCE:
- Holds a valid and current Missouri Registered
- Professional Nursing License.
- A copy of the current license must be on file in the office of the superintendent.
- Experience with young people.
Prior experience in a school setting is desired
COMMUNICATION SKILLS:
- Ability to communicate both verbally and in writing, and interact effectively with all aspects of the school community is required.
- Ability to solve conflicts, maintain confidentiality and remain open to various ideas and viewpoints.
REASONING ABILITY:
- Ability to prioritize and meet deadlines while complying with established policies and procedures of the building and district.
- Identifies and resolve problems in a timely manner, gathers and analyzes information skillfully; uses reason even when dealing with emotional topics.
- Ability to concentrate, think, read and learn is necessary to perform the essential job duties.
OTHER SKILLS AND ABILITIES:
- Demonstrate organizational ability and attention to detail.
- Ability to provide assistance to the school community as necessary.
- Ability to work independently.
- Excellent human relation skills.
- Knowledge of office equipment (computers, copiers, fax machine, and related items).
PHYSICAL DEMANDS:
While performing the duties of this job, the employee must regularly sit, talk, listen, and respond. While performing the duties of this job, the employee is regularly required to sit; use repetitive wrist, hand and/or finger movement; reach with hands and arms and talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision, distance vision, precise hand-eye coordination and the ability to identify and distinguish colors. Occasionally, the employee may lift up to 50 pounds, such as, to lift files, papers, and equipment. The foregoing is not an exclusive list and the employee may be required to exceed the minimum physical demand specifications should the safety and security of students and staff be compromised.
The above physical demands are representative of those that must be met by an employee to successfully perform the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. The noise level in the work environment is usually at a moderate level with frequent interruptions. The employee continuously interacts with staff and the public. Travel may be necessary to various District buildings and/or sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties.
The information contained in job description is for compliance with the Americans with Disabilities Act (ADA) and is not an exhaustive list of the duties performed for this position. Additional duties are performed by the individuals currently holding this position and additional duties may be assigned.
This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees may be required to follow other job-related instructions and to perform other job related duties as requested, subject to all applicable state and federal laws.
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Where Missouri roles are concentrated, by current openings.
School Nurse Job Market in Missouri
A snapshot from current Missouri openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Education
What Missouri Employers Look For
The qualifications that appear most often in school nurse jobs across Missouri.
- Active Missouri Registered Nurse license or a license recognized through Missouri endorsement
- Bachelor of Science in Nursing (BSN) degree from an accredited program
- Current CPR and Basic Life Support (BLS) certification required at time of hire
- Minimum one year of pediatric, community health, or school nursing experience preferred
- Missouri School Nurse certification or willingness to obtain within district timeline
- Strong knowledge of IEP health plan requirements and Missouri Department of Elementary and Secondary Education guidelines
School Nurse Jobs in Missouri: Frequently Asked Questions
How do you become a school nurse in Missouri?
To become a school nurse in Missouri, you must first hold an active Registered Nurse license issued or endorsed by the Missouri State Board of Nursing. Most districts additionally require or strongly prefer candidates who hold, or are working toward, a School Nurse certificate issued through the Missouri Department of Elementary and Secondary Education, which requires a nursing degree and completion of approved education coursework. A BSN is the standard minimum education level for district positions.
How much do school nurses make in Missouri?
School 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 school nurses in Missouri?
Employers hiring school nurses in Missouri right now include State of Missouri, USD, and Archdiocese of St. Louis, based on current listings on Migrate Mate as of August 2026. Missouri's largest urban and suburban school districts, along with health services contractors that staff school buildings on behalf of districts, account for the majority of consistent openings across the state.
Which Missouri cities have the most school nurse jobs?
St. Louis, Kansas City, and Nevada have the most school nurse openings in Missouri. Kansas City and St. Louis lead because of their large urban district populations and the concentration of charter and private school networks in those metros, while Springfield reflects the volume of Springfield Public Schools, one of the largest single districts in the state, along with surrounding Greene County district positions.
Are there remote school nurse jobs in Missouri?
Yes, but they're rare. About 0% of school nurse openings tied to Missouri are remote or hybrid as of August 2026, which reflects the hands-on, on-site nature of the role. The portions of school nursing most adaptable to remote work are telehealth consultation, care plan coordination, and health education program development for district-level or administrative positions.
How can I get hired as a school nurse in Missouri with little or no experience?
The most realistic entry path is applying to Missouri public school districts as a staff nurse or substitute school nurse, roles that many districts use to develop candidates without dedicated school experience. Kansas City and St. Louis districts periodically recruit new graduates willing to complete the Missouri Department of Elementary and Secondary Education school nurse certification alongside the role. Lateral moves from pediatric clinic nursing, school health aide positions, or community health nursing at Missouri Federally Qualified Health Centers also serve as credible stepping stones, and holding or actively pursuing the Missouri school nurse certificate gives candidates a measurable edge.
Where can I find and apply to school nurse jobs in Missouri?
You can find and apply to school nurse jobs in Missouri on Migrate Mate, which lists current Missouri openings updated regularly. Search the available positions, find roles that match your experience and preferred location, and apply directly to the employers posting them.
See All 31 School Nurse Jobs in Missouri
Find roles in Missouri that match your experience and apply in just a few clicks.
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