Summary
Overview
Work History
Education
Skills
Timeline
Generic

Miranda VandeRostyne Bridgeford

Colorado Springs,Colorado

Summary

Dynamic professional with a proven track record in care coordination, therapy support, and client services, demonstrating adaptability and a strong work ethic. Skilled in managing multiple priorities with exceptional organizational and time-management abilities, ensuring compliance with HIPAA standards and effective service plan management. Extensive experience in Medicaid eligibility determination and case management, adept at navigating complex regulations while maintaining a focus on team collaboration and achieving results. Recognized for reliability and adaptability in fast-paced environments, with expertise in data analysis, client communication, and process improvement.

Overview

5
5
years of professional experience

Work History

Certified Nurse Assistant

A Physicians Home Care
01.2024 - Current
  • Provide activities of daily living (ADL) care with prompts and hands on assistance for dressing, bathing, fall precautions, oral care, feeding, et. cetera.
  • Performs home exercise plans for play therapy.
  • Promote patient safety and emotional well-being in a home-care environment.
  • Encouraged patient confidence and social engagement in varied environments.

Prior Authorization Coordinator

The Resource Exchange
05.2023 - Current
  • Review and analyze documentation for accuracy and compliance with state and federal guidelines.
  • Enter case notes and maintain detailed records across multiple data systems.
  • Protect confidentiality by adhering to HIPAA standards.
  • Develop strong working knowledge of long-term care (LTC), Consumer Directed Attendant Support Services (CDASS) and In Home Support Service (IHSS) regulations.
  • Adapt quickly to policy changes affecting prior authorization procedures and service delivery.
  • Collaborate effectively with coworkers and external providers.

Service Coordination Administrative Coordinator

The Resource Exchange
08.2022 - 04.2023
  • Delivered responsive customer service to colleagues, providers, and individuals served.
  • Submitted IHSS/CDASS/over cost containment (OCC) requests for third-party review.
  • Identified errors in submissions and communicated necessary revisions with coordinators.
  • Supported service coordinators with corrections and ensured timely handoff to prior authorization coordinators for processing.

Service Coordinator, Flex

The Resource Exchange
08.2021 - 08.2022
  • Managed development of service plans including Continued Stay Reviews (CSRs), 6-Month Reviews, and Quarterly Reviews.
  • Monitored service utilization to ensure person-centered care.
  • Provided team support by covering service plan tasks as needed.
  • Adapted to frequent changes in state and federal regulations.

Certified Nurse Assistant

PASCO
01.2021 - 01.2022
  • Provide activities of daily living (ADL) care with prompts and hands on assistance for dressing, bathing, fall precautions, oral care, feeding, et. cetera.
  • Performs home exercise plans for occupational therapy (OT) and speech therapy.
  • Promote patient safety and emotional well-being in a home-care environment.
  • Encouraged patient confidence and social engagement in varied environments.

Education

Certified Nurse Assistant Certification -

South Denver School of Nursing Arts
12-2020

Certificate - Healthcare Documentation

Richland Community College
Decatur, Illinois
05-2016

Bachelor of Arts Degree - Journalism and Mass Communication

Ashford University
Clinton, Iowa
05-2014

Bachelor of Arts Degree - Sociology

Western Illinois University
Macomb, Illinois
05-2008

Associates of Arts Degree - undefined

Black Hawk College East
Kewanee, Illinois
05-2005

Skills

  • Patient care
  • HIPAA compliance
  • Reliable team player
  • Direct patient care
  • Teamwork and collaboration
  • Customer service
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Reliability
  • Organizational skills

Timeline

Certified Nurse Assistant

A Physicians Home Care
01.2024 - Current

Prior Authorization Coordinator

The Resource Exchange
05.2023 - Current

Service Coordination Administrative Coordinator

The Resource Exchange
08.2022 - 04.2023

Service Coordinator, Flex

The Resource Exchange
08.2021 - 08.2022

Certified Nurse Assistant

PASCO
01.2021 - 01.2022

Certificate - Healthcare Documentation

Richland Community College

Bachelor of Arts Degree - Journalism and Mass Communication

Ashford University

Bachelor of Arts Degree - Sociology

Western Illinois University

Associates of Arts Degree - undefined

Black Hawk College East

Certified Nurse Assistant Certification -

South Denver School of Nursing Arts