Madison Ostler

As Executive Director of Utah’s first and only nonprofit professional guardianship agency, Maddie oversee all operational, legal, and ethical dimensions of care for protected adults under court appointment. As the only ABISC Certified Guardian in the State of Utah, Maddie specializes in caring for individuals suffering from a traumatic brain injury. In tandem, Maddie serves as a Certified National Guardian, directly managing high-risk, high-need adult clients, over 100 in total, for almost 10 years. We assist individuals in navigating complex medical, legal, and mental health systems to safeguard their autonomy, dignity, and safety.

Key Responsibilities:

• Lead a multidisciplinary team of guardians, support staff, therapists, and case managers, providing guardianship services across the state.
• Develop life care plans, conservatorship strategies, and medical-legal advocacy for incapacitated adults.
• Serve as the point of contact for courts, attorneys, adult protective services, long-term care facilities, and law enforcement.
• Provide expert reporting and testimony in legal proceedings regarding client needs, capacity, and best-interest determinations.
• Manage crisis response, including mental health escalations, medical emergencies, facility placements, and protective orders.

Contracted with Utah’s Division of Services for People with Disabilities (DSPD)

Served as a primary advocate and case manager for individuals with intellectual and developmental disabilities receiving DSPD services. Worked in partnership with families, providers, and state systems to build person-centered service plans that prioritized independence, safety, and dignity.

Key Responsibilities:

• Managed caseloads of 25–40 individuals across multiple counties, ensuring compliance with Medicaid Waiver requirements, and DSPD protocols.
• Developed and maintained individualized support plans (ISPs) aligned with client goals, diagnoses, and behavioral needs.
• Conducted regular in-home visits and quarterly monitoring to assess well-being, and implement risk mitigation strategies.
• Advocated for clients' rights in interdisciplinary team meetings, annual reviews, and during crisis resolution.

Served as the lead administrative support for a busy medical office within Utah’s largest healthcare system. Oversaw front-line patient services, coordinated with clinical staff, and trained new hires to ensure a seamless and compassionate care experience for all patients.

Key Responsibilities:

• Acted as a liaison between patients, physicians, and administrative departments to resolve issues and enhance care coordination.
• Trained and supervised a team of patient service representatives to maintain consistent service quality and compliance.
• Handled escalated patient concerns with empathy and professionalism, ensuring service recovery and satisfaction.