Date Posted: 10/27/2026
Hiring Organization: Rose International
Position Number: 509847
Industry: Healthcare
Job Title: Decedent Affairs Specialist - Hospital & Mortuary Services
Job Location: Saint Louis, MO, USA, 63110
Work Model: Onsite
Shift: Sunday-Thursday; 3pm -11:30pm
Employment Type: Temp to Hire
FT/PT: Full-Time
Estimated Duration (In months): 3
Min Hourly Rate($): 25.00
Max Hourly Rate($): 25.00
Must Have Skills/Attributes: Administrative, Customer Service, Document Review, Healthcare, Legal Documentation, Medical Terminology, MS Office
Experience Desired:
Experience in mortuary science, clinical, or hospital settings (2-5 yrs),
Medical records and determine whether deaths require reporting to the Medical Examiner’s Office (2+ yrs),
Experience processing death certificates, cremation authorizations, autopsy consent forms, and other (2+ yrs),
Postmortem procedures, autopsy arrangements, and disposition of remains (2+ yrs)
Required Minimum Education: High School Diploma or equivalent
Preferred Education: Associate’s Degree
**C2C is not available**
Job Description
The Decedent Affairs Specialist is the sole process owner responsible for completing administrative and legal documentation for BJH following a patient death. The specialist serves as a liaison between the hospital and internal and external parties and agencies.
Required Education:
• High school diploma or equivalent required.
Preferred Education:
• Associate’s degree in mortuary science.
Required Qualifications:
• 2–5 years of experience in mortuary science, clinical, or hospital settings.
• Ability to review medical records and determine whether deaths require reporting to the Medical Examiner’s Office.
• Experience processing death certificates, cremation authorizations, autopsy consent forms, and other legal records.
• Strong communication skills to liaise with decedent families, physicians, funeral homes, and medical examiner personnel.
• Ability to maintain accurate documentation, review medical records, and ensure compliance with hospital policies and procedures.
• Knowledge of postmortem procedures, autopsy arrangements, disposition of remains, and coordination with morgue and funeral home services.
Job Responsibilities:
• Serve as the hospital liaison for decedent families, the medical examiner, physicians, and funeral homes.
• Answer family questions regarding expiration policies and procedures.
• Coordinate with the City of St. Louis Medical Examiner’s Office regarding trauma and emergency-room expirations.
• Review patient charts to determine whether the circumstances surrounding a death are reportable to the Medical Examiner’s Office.
• Assist physicians with research reports and questions about former patients under their care.
• Work with funeral homes to address questions and complete death certificates or cremation authorizations.
• Process legal documentation for deceased adult patients and fetal remains.
• Complete the Memorandum of Death, summarizing details of the death and disposition of remains.
• Generate death certificates for physician signature; coordinate with designated funeral homes to complete them.
• Send death certificates to the Missouri Department of Health and Senior Services, Bureau of Vital Records, for processing.
• Work with Social Services to determine whether a decedent is considered unclaimed.
• Contact appropriate sources to determine eligibility for donation through the Center for Anatomical Science and Education of St. Louis or for cremation.
• Complete the required documentation and ensure it becomes part of the hospital’s legal records.
• Authorize and process autopsy requests for inpatients, outpatients, and patients from outside hospitals.
• Work with the decedent’s family to complete Request for Postmortem Examination documents authorizing the Washington University Department of Pathology or an outside agency to conduct an autopsy.
• Arrange transportation of remains into and away from the hospital morgue as needed.
• Administer and oversee preparation of cremation letters for unclaimed bodies.
• Ensure cremation letters are legally documented and processed.
• Coordinate handoffs with other Expiration Specialists, the Nursing Office, and Security.
• Retrieve and review medical records to verify completeness.
• Close cases after the expiration process has been finalized. - **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
I had a very positive experience working for Rose. The entire process is very efficient and easy.
Joanne, Consultant
Rose is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.
Samba, Consultant
You are customer service oriented. No matter whether it was the Recruiter or someone in Human Resources/Payroll, you were responsive. That to me is key!
Tonya, Consultant
Your team at Rose International is always very helpful and responsive.
Barbara, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
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