Social Services Department 

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The Social Services Department at Circle of Care St. Louis is dedicated to enhancing the quality of life for seniors and adults with disabilities. Our exceptional team of case managers is professionally trained in Medicare and Medicaid, uniquely equipped to guide clients through complex healthcare systems and overcome barriers to accessing vital health benefits. Our care coordinators are equally skilled in navigating subsidized housing and other community resources, ensuring that our clients have the support they need to age in place. Both our case managers and care coordinators specialize in facilitating smooth transitions from skilled nursing facilities and hospitals, providing personalized care plans and ongoing support for a safe and confident return home. By offering this holistic support, we empower our clients to live independently and thrive within their communities.

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Program Services

• Case Management
  Our case managers start by conducting a comprehensive assessment to understand each client’s needs and goals. From there, they create a customized care plan, connecting clients with the necessary resources and services to meet immediate and long-term needs. With specialized training in Medicare and Medicaid, our case managers have the expertise to guide clients through complex processes, ensuring they receive the benefits and support they are entitled to.

• Care Coordination
  We take a holistic approach to care coordination, facilitating seamless communication between healthcare providers and social services. Our case managers navigate complex systems to integrate all aspects of a client's care, ensuring they can access comprehensive, uninterrupted support. By reducing out-of-pocket costs and enhancing access to essential services, we work to improve our client's overall health and well-being.

• Transitions in Care
  Our Transitions in Care service provides continuous support after hospital discharge, helping clients avoid readmission and promoting better health outcomes. Through careful planning and coordination, we ensure clients receive the necessary care to thrive safely and independently at home. We focus on medication reconciliation and compliance while removing barriers preventing access to community care after the transition.

• Community Care Transition
  We assist individuals transitioning from nursing facilities to the community, offering tailored discharge plans and connecting clients with state programs and local resources. Our case managers advocate for clients to ensure a smooth, successful transition, helping them regain independence and quality of life.

 

What Sets Us Apart

Our case managers are not only trained professionals; they are certified in Medicare and Medicaid, providing them with the knowledge and skills necessary to navigate these complex systems. They undergo rigorous annual training, focusing on social security, ensuring they remain up-to-date on industry best practices. This expertise allows our team to proactively address our client's changing needs, helping them overcome barriers to accessing health benefits and essential services.

 

Our Impact

Through our Social Services Department, we work to improve access to healthcare services while reducing out-of-pocket expenses for our clients. We aim to reduce hospital readmissions, avoid nursing home placements, and lower overall healthcare costs by staying proactive and adaptable to each individual's ongoing needs. Our mission is to empower clients to take control of their health, maintain their quality of life, and remain active in their communities.

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Take the Next Step

Ready to get started? Complete our central intake form or call Circle of Care St. Louis at 314-873-3501  to complete an over-the-phone intake. We're here to help you navigate the path to better health and independence.

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