United States Court of Appeals
                             For the Eighth Circuit
                         ___________________________

                                 No. 14-2594
                         ___________________________

                                   Rebecca Shirrell

                        lllllllllllllllllllll Plaintiff - Appellant

                                            v.

                      St. Francis Medical Center; Lisa Miller

                      lllllllllllllllllllll Defendants - Appellees
                                       ____________

                     Appeal from United States District Court
               for the Eastern District of Missouri - Cape Girardeau
                                  ____________

                             Submitted: April 13, 2015
                               Filed: July 16, 2015
                                 ____________

Before RILEY, Chief Judge, LOKEN and SHEPHERD, Circuit Judges.
                              ____________

SHEPHERD, Circuit Judge.

       Rebecca Shirrell, a nurse formerly employed by St. Francis Medical Center (St.
Francis), brought this action alleging religious discrimination and retaliation in
violation of Title VII and the Missouri Human Rights Act (MHRA) after St. Francis
terminated her employment. Shirrell alleged discrimination based on her Jewish faith
and retaliation based on complaints she made concerning a co-worker’s derogatory
remark about the Jewish faith. The district court1 granted summary judgment in favor
of St. Francis and Lisa Miller, the co-worker who made the derogatory remark,
holding that Shirrell failed to make a prima facie showing of discrimination or
retaliation under Title VII and failed to satisfy the requirements for her MHRA claims
when the evidence showed St. Francis terminated Shirrell pursuant to hospital policy
for an accumulation of disciplinary points. Shirrell appeals, and we affirm.

                                          I.

       St. Francis first hired Shirrell, who is Jewish, as a clinical nurse in 1995.
Shirrell resigned her position in July 2000. In 2001, St. Francis re-hired Shirrell,
where she continued to work until her 2012 discharge. In 2007, Shirrell moved to
part-time status, primarily working weekends. Shirrell worked the weekend shift with
Miller for a number of years. In late February or early March 2012, Miller was
having a discussion about the purchase of a camper with another co-worker in
Shirrell’s presence. Miller, who is not Jewish, commented to the co-worker that she
was going to try to “Jew down” or had “Jewed down” the seller of the camper to a
lower price. Prior to this comment, Shirrell had not heard Miller or any other co-
workers make derogatory remarks about the Jewish faith and did not have any issues
in her working relationship with her co-workers.

       Shirrell informed her supervisor, Tammy Hahn-Brown, who served as the
Nurse Manager of Orthopedics, about Miller’s comment in a phone call the following
day. Hahn-Brown told Gerry Salter, St. Francis’s Director of Orthopedic Services,
about the incident and told Salter that she would speak with Miller about the incident
and communicate with the staff regarding St. Francis’s expectations of its employees.
On March 5, 2012, Hahn-Brown posted a copy of St. Francis’s harassment policy in


      1
       The Honorable Stephen N. Limbaugh, Jr., United States District Judge for the
Eastern District of Missouri.

                                         -2-
the nurses’ room and sent an email to nurses and nursing assistants reminding them
to be careful with their words and actions around patients, families, and co-workers
at all times.

       Roughly six weeks after Miller’s comment, Shirrell informed Hahn-Brown that
her work environment had become hostile, alleging that co-workers gave her the cold
shoulder, that Miller asked Shirrell why she had complained to Hahn-Brown, and that
Miller accused Shirrell of trying to get Miller in trouble. Shirrell admits, however,
that she had very little interaction with co-workers during a typical weekend shift and
that she never filed a harassment complaint or internal grievance during her
employment with St. Francis. In late March or early April 2012, Hahn-Brown
announced she was taking a different position within St. Francis, vacating her
supervisory role over Miller and Shirrell. On April 20, 2012, St. Francis promoted
Miller to assume Hahn-Brown’s vacated position. Miller worked in her new position
as Nurse Manager of Orthopedics under Hahn-Brown’s supervision until late May
2012.

       In late May or early June 2012, Miller brought two patient complaints
concerning Shirrell to Salter’s attention. Salter told Miller to investigate the
complaints. Patients or family members of patients made these complaints on May
31, 2012, and June 2, 2012, alleging that Shirrell had been rude to a patient and failed
to appear in a patient’s room when summoned. Miller reported the results of her
investigation, which labeled the complaints as unprofessional conduct, to Salter.
Pursuant to St. Francis’s Progressive Corrective Action Policy, which is designed to
address disciplinary concerns by assessing points for various infractions and
mandating disciplinary action based on accumulation of points, Salter assessed
Shirrell a suspension, worth seven points.

      By late May 2012, Shirrell had also accumulated five unscheduled absences
within a 12-month period. The fourth and fifth absences occurred on May 24, 2012,

                                          -3-
and May 26-27, 2012. Pursuant to St. Francis’s Absenteeism and Tardiness Policy2
and the Corrective Action Policy, Salter gave Shirrell a written warning and assessed
her three disciplinary points. In late May or early June 2012, St. Francis also issued
two separate oral warnings to Shirrell for incidents on May 17, 2012, and May 31,
2012, described as reluctance, disinterest, and/or neglect in carrying out
responsibilities. The Corrective Action Policy valued each oral warning at one
disciplinary point. Shirrell does not dispute either warning, one issued for failure to
document waste of medication and one for neglecting to write a sedation score of a
patient.

       During a meeting held on June 6, 2012, Salter informed Shirrell that St. Francis
was terminating her employment. Before making the decision to discharge Shirrell,
Salter consulted with St. Francis’s Human Resources (HR) department both in person
and via phone to verify that HR was in agreement with Salter’s assessment of
Shirrell’s disciplinary points. The decision to discharge Shirrell occurred during a
meeting between Salter, Miller, and HR employee Teri Krietzer, with Salter making
the final decision to terminate Shirrell. At the June 6th meeting, Salter informed
Shirrell that St. Francis was terminating her employment pursuant to the Corrective
Action Policy, which mandates the discharge of an employee who accumulates 12


      2
        Shirrell argues that St. Francis incorrectly applied the Absenteeism and
Tardiness Policy to Shirrell, treating her as a part-time employee under the policy
when the number of hours she worked rendered the policy for part-time employees
inapplicable to her. We find this dispute immaterial because we will not second guess
St. Francis’s application of its own personnel policy. See Bone v. G4S Youth Servs.,
LLC, 

, 955 (8th Cir. 2012) (explaining that courts do not “sit as super-
personnel departments reviewing the wisdom or fairness of the business judgments
made by employers, except to the extent that those judgments involve intentional
discrimination” (internal quotation marks omitted)), cert. denied, 

(2013). With no evidence of intentional discrimination in the application of the
policy, we decline to pass judgment on St. Francis’s determinations regarding
Shirrell’s unscheduled absences.

                                         -4-
disciplinary points in a 12-month period. The disciplinary action form Salter
prepared in connection with this meeting3 indicated that Shirrell had accumulated 12
disciplinary points in a 12-month period, including 7 disciplinary points for patient
and/or family complaints, 3 disciplinary points for 5 unscheduled absences in a 12-
month period, and 2 disciplinary points for reluctance, disinterest, and/or neglect in
carrying out her duties. The disciplinary action form also included a March 1, 2012
patient complaint and a notation that patient and family complaints had previously
been addressed with Shirrell in 2011, although these did not figure into the
assessment of the 12 points. Miller was present at the discharge meeting but did not
speak, and Shirrell makes no allegations that Miller was the final decision maker
regarding her termination. Shirrell similarly makes no allegations that Salter ever
exhibited any bias against the Jewish faith.

       On June 17, 2012, Shirrell filed a Charge of Discrimination with the Equal
Employment Opportunity Commission (EEOC) and the Missouri Commission on
Human Rights (MCHR) alleging religious discrimination, retaliation, and
termination. The EEOC and MCHR issued Notices of Right to Sue on December 14,
2012, and January 9, 2013, respectively. Shirrell initiated this action on March 4,
2013, asserting Title VII and MHRA claims against St. Francis and MHRA claims
against Miller, alleging that her discharge was based on her religion and her
complaints about discriminatory conduct. The defendants brought a motion for
summary judgment, which the district court granted, holding that Shirrell failed to
satisfy the McDonnell Douglas4 burden-shifting framework with respect to her Title
VII claims and failed to provide evidence to sustain her MHRA claims. This appeal
follows.


      3
       This form bears the date June 5, 2012, and Shirrell purportedly signed the
form on this date. The parties do not dispute, however, that the discharge meeting
occurred on June 6, 2012.
      4
          McDonnell Douglas Corp. v. Green, 

(1973).
                                         -5-
                                           II.

      We first consider whether the district court erred in granting summary
judgment to St. Francis and Miller on Shirrell’s MHRA claims. We review a district
court’s grant of summary judgment de novo, drawing all reasonable inferences and
reviewing the evidence in the light most favorable to the non-moving party. Hill v.
Walker, 

, 1216 (8th Cir. 2013). We will affirm the grant of summary
judgment “if the movant shows that there is no genuine dispute as to any material fact
and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a).

       The MHRA makes it unlawful to “retaliate or discriminate in any manner
against any other person because such person has opposed any practice prohibited by
[the MHRA].” Mo. Rev. Stat. § 213.070(2). Prohibited conduct under the MHRA
includes discrimination based on religion. 

Shirrell asserts that the
district court erred in granting summary judgment on her retaliation claim because
disputed issues of material fact exist with respect to whether Shirrell engaged in
protected activity and whether a causal connection existed between the protected
activity and her discharge. Shirrell asserts the district court erred with respect to her
religious discrimination claim because a causal connection existed between her
religion and her discharge. With respect to the MHRA claims against Miller, Shirrell
also asserts that, because Miller was personally involved in the challenged conduct
and Shirrell’s discharge, she may be held individually liable under the MHRA.

       Under the MHRA, a plaintiff alleging retaliation must meet three requirements:
(1) the plaintiff complained of an MHRA-prohibited activity, (2) the employer took
an adverse employment action, and (3) a causal connection exists between the
complaint and adverse action. McCrainey v. Kan. City Mo. Sch. Dist., 

, 753 (Mo. Ct. App. 2011). In resolving this claim, we need not address each
element under the MHRA because the lack of a causal connection is fatal to Shirrell’s

                                          -6-
claim. The evidence shows St. Francis terminated Shirrell pursuant to hospital policy,
rather than in response to her complaints about the overheard remark. Shirrell
accrued 12 disciplinary points in a 12-month period, which mandated her discharge
pursuant to the Corrective Action Policy. Shirrell had a history of disciplinary issues,
primarily difficult relations with patients and families. The record simply does not
support her assertion that she had a good disciplinary history. The record reveals that
Shirrell’s interactions with patients and families had been an ongoing concern, and
Shirrell attempts to place undue significance on one satisfactory job review she
received shortly before she began amassing the 12 disciplinary points that led to her
discharge. Shirrell presents no evidence other than the timing of her discharge after
her complaints to support a causal connection. Without other evidence, the fact that
Shirrell’s discharge occurred three months after her complaint is insufficient to prove
causation. See Medley v. Valentine Radford Commc’ns, Inc., 

, 325
(Mo. Ct. App. 2005) (holding that a one month period between protected activity and
adverse action was insufficient to establish a causal connection in the absence of
other evidence). The district court thus did not err in granting summary judgment in
favor of the defendants on Shirrell’s MHRA retaliation claim.

        With respect to Shirrell’s religious discrimination claim, the MHRA requires
a plaintiff to prove: (1) the plaintiff was discriminated against with respect to her
employment or the plaintiff was discharged, (2) the plaintiff’s religion was a
contributing factor in the discriminatory act or discharge, and (3) the plaintiff suffered
damage as a direct result. Daugherty v. City of Md. Heights, 

, 820
(Mo. 2007) (en banc). Shirrell has failed to present any evidence that would support
the conclusion that her religion was a contributing factor in her discharge. The record
is instead filled with evidence indicating that St. Francis terminated Shirrell pursuant
to hospital policy after Shirrell accumulated 12 disciplinary points. One overheard
offensive remark and a termination three months later falls far short of the requisite
causal connection. See Brannum v. Mo. Dep’t of Corr., 

, 548 (8th Cir.
2008) (“[S]imple teasing, offhand comments, and isolated incidents (unless extremely

                                           -7-
serious) will not amount to discriminatory changes in the terms and conditions of
employment.” (internal quotation marks omitted)); see also 

(explaining that courts evaluating MHRA claims should look to both Missouri
law and federal employment discrimination law that is consistent with Missouri law).
The district court thus did not err in granting summary judgment to the defendants on
Shirrell’s MHRA religious discrimination claim.

       Because we conclude that the district court did not err in granting summary
judgment on Shirrell’s MHRA claims, we need not consider Shirrell’s additional
argument that the district court should have held Miller individually liable under the
MHRA for her participation in the events giving rise to Shirrell’s discharge. Even if
the MHRA could impose individual liability on Miller, Shirrell’s claims against her
fail for the above-mentioned reasons. We therefore affirm the district court’s grant
of summary judgment to St. Francis and Miller on Shirrell’s MHRA claims.

                                           III.

       We next consider whether the district court erred in granting summary
judgment to St. Francis on Shirrell’s Title VII claims. To survive a motion for
summary judgment with a Title VII claim, a plaintiff must show either direct evidence
of a Title VII violation or create an inference of discrimination or retaliation under
the McDonnell Douglas burden-shifting framework. See Fiero v. CSG Sys., Inc., 

, 878 (8th Cir. 2014). Direct evidence of discrimination requires “a specific
link between the [alleged] discriminatory animus and the challenged decision,
sufficient to support a finding by a reasonable fact finder that an illegitimate criterion
actually motivated the employer’s decision.” Putman v. Unity Health Sys., 

, 735 (8th Cir. 2003) (alteration in original) (internal quotation marks omitted).
In the absence of direct evidence, the McDonnell Douglas framework applies, which
requires a plaintiff to make a prima facie case of discrimination or retaliation. See 

plaintiff satisfies this burden, the defendant then has the burden of showing a

                                           -8-
legitimate, non-discriminatory reason for the challenged action. 

defendant
offers such a reason, the burden shifts back to the plaintiff to show the defendant’s
proffered reason is a pretext. 

initial matter, Shirrell asserts that the district court erred in granting
summary judgment in favor of St. Francis because the district court evaluated the
motion under the McDonnell Douglas burden-shifting framework instead of under the
elements of each cause of action that a jury would consider during deliberation. This
argument is without merit and Shirrell acknowledges as much when she concedes that
a plaintiff in an employment discrimination action must satisfy the McDonnell
Douglas framework to survive summary judgment. See Appellant’s Br. 37 n.6
(“Shirrell acknowledges at present this Court requires plaintiff to establish
McDonnell Douglas elements to survive summary judgment[.]”).

       Shirrell next argues that the district court erred in granting summary judgment
to St. Francis on her Title VII religious discrimination claim. Because Shirrell has
presented no direct evidence of discrimination, we evaluate her claim under the
McDonnell Douglas framework. To establish a prima facie case of religious
discrimination, a plaintiff must show: (1) she is a member of a protected class because
of her religious beliefs, (2) she met her employer’s legitimate expectations, (3) she
suffered an adverse employment action, and (4) the circumstances give rise to an
inference of discrimination. See Gibson v. Am. Greetings Corp., 

, 853
(8th Cir. 2012). Circumstances giving rise to an inference of discrimination include
treating similarly situated employees who are not members of the protected class in
a different manner. 

       As with Shirrell’s MHRA claims, we need not address each element of a Title
VII religious discrimination claim because, as a matter of law, the circumstances do
not give rise to an inference of discrimination. Shirrell identifies no similarly situated
co-workers who were not part of her protected class and who were treated any

                                           -9-
differently than she was. She also provides no evidence that the ultimate decision
maker in her discharge was biased against her. The same evidence that is fatal to
Shirrell’s MHRA claims is similarly fatal here: St. Francis terminated Shirrell
pursuant to hospital policy after Shirrell accrued 12 disciplinary points; St. Francis
terminated Shirrell after consultation with HR; Salter was the ultimate decision maker
in the termination; Miller was not involved in the decision to terminate Shirrell; and
the basis for Shirrell’s discrimination claims was one overheard, offhand remark not
directed at Shirrell. See 

(explaining that offhand
comments and isolated incidents do not give rise to employment discrimination
claims). For these reasons and based on this evidence, the district court did not err
in granting summary judgment to St. Francis on Shirrell’s Title VII religious
discrimination claim.

       Shirrell finally argues that the district court erred in granting summary
judgment on her Title VII retaliation claim. As with her religious discrimination
claim, Shirrell has presented no direct evidence of retaliation, requiring our analysis
to proceed in accordance with the McDonnell Douglas framework. A prima facie
case of retaliation requires a plaintiff to show: (1) she engaged in protected activity,
(2) she suffered an adverse employment action, and (3) a causal connection exists
between the two. 

. To show a causal connection, a plaintiff
must show that her protected activity was a but-for cause of her employer’s adverse
action. Univ. of Tex. Sw. Med. Ctr. v. Nassar, 

, 2534 (2013). As
previously discussed, the uncontroverted evidence in the record shows that St. Francis
terminated Shirrell pursuant to hospital policy for disciplinary reasons, rather than in
response to Shirrell’s complaints about Miller’s remark. We therefore conclude the
district court did not err in granting summary judgment to St. Francis on Shirrell’s
Title VII retaliation claim.

       Because we conclude that Shirrell fails to make a prima facie case for both her
religious discrimination and retaliation claims under Title VII, we need not consider

                                         -10-
whether the district court erred in holding that Shirrell failed to prove pretext. We
therefore affirm the district court’s grant of summary judgment on Shirrell’s Title VII
claims.

                                         IV.

      For the foregoing reasons, we affirm the judgment of the district court.
                      ______________________________




                                         -11-