Amanda Silverthorn
Saukville,WI
Summary
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.
Overview
2025
2025
years of professional experience
1
1
Certification
Work History
Case Manager
Molina Healthcare
12.2016 - Current
- Manage, oversee, monitor, educate, coordinate care, and assess and update care plan goals to track progress and outcomes for at least 80 members monthly, identify gaps in care, escalate or file grievances, and educate Medicaid members on benefits.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and HIPAA, while meeting NCQA requirements.
- Optimizing processes, identify and implement efficiency improvements for better member outcomes.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Engage in collaborative teams to create process improvement for the following areas: Employee Engagement scores, reducing costs for Chronic Disease members, increasing company HEDIS scores by reaching 50% goal success rate, and increasing member engagement to 50% by utilizing critical thinking and coordinating with internal departments.
- Participated in the Employee Action Committee monthly to increase employee engagement scores and company morale.
- Experience working with Medicaid, Medicare, and Marketplace lines of business and providing care coordination and addressing gaps in care.
- Managed the National Diabetes Prevention Program with Molina Healthcare employees, Medicaid population in the community, and Hyatt Pharmacy employees, along with developing and maintaining provider relationships.
- Develop and Conduct annual Motivational Interviewing Trainings for the Case Management Department.
- Promoted and educated internal employees for the Molina Help Finder platform, platform to coordinate Social Determinants Of Health (SDOH) for members.
- Participate in monthly professional development opportunities to stay current on best practices within the field of case management.
- Train, provide support, offer constructive feedback, guide, educate on best practices, and mentor new employees.
Health Care Coordinator
Wheaton Franciscan Health Care
12.2013 - 11.2016
- Coordinated care for commercial insurance participants with provider's offices, addressed social determinants of health, identified gaps in care, provided education, assisted with scheduling appointments while adhering to HIPAA requirements.
- Managed complex caseloads, prioritizing time-sensitive tasks and maintaining a high standard of care for all patients.
- Developed and managed program for high risk and high-cost participants with commercial insurance.
Team Leader
Trotter Wellness
04.2012 - 11.2013
- Supported client service and health coaching department, created quarterly schedules, updated company procedures, project lead, department communications, and paid time off coordination.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Train new employees on company procedures.
- Supported and engaged over 4,000 working individuals in developing healthy lifestyles telephonically.
- Applied behavior change techniques designed to target and reduce lifestyle related health risks.
Guest Service Co-Worker
Kwik Trip
05.2016 - Current
- Provide excellent customer service for the community being served in a clean state of the art facility, stocking shelves, and maintaining an accurate cash register.
- Address and resolve customer complaints in polite and professional manner.
- Provided training to new team members, ensuring consistent quality and performance.
Adult League Supervisor
Grafton Parks and Recreation
09.2017 - 10.2024
- Coordinate, plan, implement and supervise Adult Volleyball Leagues.
Fitness Specialist
Elite Sports Clubs
08.2010 - 04.2012
- Managed fitness facility and the Teen and Nutrition Training (TNT) Program.
- Kept fitness areas, machines, and spaces clean and orderly for customers.
- Taught participants proper methods for best use of equipment and performed fitness assessments to meet individual fitness goals.
- Led group exercise classes (spin, boot camp, and aqua boot camp classes), promoting a fun and inclusive environment for all participants.
- Enhanced client fitness levels by creating and implementing customized workout plans.
Volleyball Coach
Wisconsin
- Pacelli High School- Stevens Point, WI (September 2009-November 2009).
- Brookfield East High School- Brookfield, WI (August 2011-November 2011).
- Adversity Wisconsin Volleyball Club- Milwaukee, WI (September 2012-April 2013).
- Wisconsin Premier Volleyball Club- Mequon, WI (September 2016- April 2017).
Fitness Specialist
Wellness Connections-3 Pillars Masonic Center
12.2010 - 05.2011
- Taught participants (55 years of age and older) proper methods for best use of equipment to meet individual fitness goals.
- Kept fitness areas, machines, and spaces clean and orderly for customers.
- Created a welcoming environment for all members/guests entering the facility through positive interactions and attentiveness.
- Streamlined administrative tasks such as scheduling appointments or processing payments efficiently.
Intern
Elite Sports Club Internship
06.2010 - 08.2010
- Managed youth tennis program; including agility, plyometric, and strength training and fitness facility.
- Performed fitness assessments that include PAR-Q, health history, blood pressure screening, waist to hip ratio, height/weight, 3 site and 7 site skin fold, flexibility test, strength testing, sub maximal bike test, and body age analysis.
- Contributed to a positive team environment by collaborating with fellow interns on group projects and presentations.
- Kept fitness areas, machines, and spaces clean and orderly for customers.
- Taught participants proper methods for best use of equipment and performed fitness assessments to meet individual fitness goals.
- Led group exercise classes (spin, boot camp, and aqua boot camp classes), promoting a fun and inclusive environment for all participants.
- Enhanced client fitness levels by creating and implementing customized workout plans.
Education
Bachelor of Science - Corporate Health Promotions
University of Wisconsin-Stevens Point
Stevens Point, WI08.2010
Skills
- Problem-Solving
- Organization and Multitasking
- Care Coordination/Case Management
- Relationship Building
- Staff education and training
- Time Management
- Community Resources
- Proficient in Microsoft Office-Excel, Word, Power Point
- Motivational Interviewing
- Certified in CPR/AED and First Aid
- Health Promotion
- Teamwork and Collaboration
Certification
- National Wellness Institute, Certified Wellness Practitioner (CWP), 2013
- American Red Cross Adult and Child CPR/AED, Infant CPR, and First Aid, 2023
- Centers for Disease Control, National Diabetes Prevention Program Certified Trainer, 2019
- American Lung Association Freedom from Smoking Facilitator, 2009
- University of Wisconsin Green Bay, Pediatric Mental Health Certification, 2023
- Fundamentals of Project Planning and Management Certification, University of Virginia Darden, 2024
Accomplishments
Nominated for the Spotlight Award in 2024, which shows exemplary contributions and outstanding efforts to my team, Molina members and Molina Healthcare as a whole. This award show cases my strengths such as being dependable, hardworking, flexible with change, being a team player, willingness to learn and grow, compassion for others, mentoring new employees, and going above and beyond what is expected.
Timeline
Adult League Supervisor
Grafton Parks and Recreation
09.2017 - 10.2024
Case Manager
Molina Healthcare
12.2016 - Current
Guest Service Co-Worker
Kwik Trip
05.2016 - Current
Health Care Coordinator
Wheaton Franciscan Health Care
12.2013 - 11.2016
Team Leader
Trotter Wellness
04.2012 - 11.2013
Fitness Specialist
Wellness Connections-3 Pillars Masonic Center
12.2010 - 05.2011
Fitness Specialist
Elite Sports Clubs
08.2010 - 04.2012
Intern
Elite Sports Club Internship
06.2010 - 08.2010
Volleyball Coach
Wisconsin
Bachelor of Science - Corporate Health Promotions
University of Wisconsin-Stevens Point