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Act Case Manager Jobs in Delaware (NOW HIRING)

Ambercare

PRN Home Care Registered Nurse

Milford, DE · On-site

... Practice Act and the plan of care. * Teach the patients/caregivers appropriate self-care techniques. * Notify the Case Manager, physicians, and families of changes in the patient's condition.

Horizon House

Mental Health Specialist

Claymont, DE · On-site

We are seeking a qualified candidate who is interested in joining our Case Management Assertive Community Treatment (ACT) / Intensive Case Management (ICM) program team, in Claymont, DE. The Mental ...

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Act Case Manager information

What is an ACT case manager?

An ACT (Assertive Community Treatment) Case Manager is a mental health professional who coordinates comprehensive care for individuals with severe mental illness. They work as part of a multidisciplinary team to provide personalized support, including medication management, therapy, housing assistance, and crisis intervention. The goal of an ACT Case Manager is to help clients maintain stability, live independently in the community, and reduce hospitalizations by offering intensive, ongoing support.

What are the key skills and qualifications needed to thrive as an ACT case manager, and why are they important?

To thrive as an ACT Case Manager, you need a background in social work, psychology, or a related field, often with a bachelor's or master's degree and relevant licensure. Familiarity with case management software, electronic health records (EHRs), and community resource databases is typically required. Strong interpersonal skills, cultural competence, and crisis intervention abilities help you build trust and support clients effectively. These competencies are crucial for coordinating comprehensive care and promoting recovery for individuals with severe mental health needs in community settings.

What are some common challenges ACT case managers face when working with clients with severe mental illness?

ACT Case Managers often work with clients who have complex mental health needs and may face challenges such as building trust with individuals who are hesitant to engage, coordinating care across multiple providers, and responding to crises outside standard work hours. Managing high caseloads while ensuring each client receives individualized attention can also be demanding. However, the multidisciplinary team approach and strong peer support within ACT programs help address these challenges and create a collaborative environment focused on client recovery.

What is the difference between Act Case Manager vs Mental Health Case Manager?

AspectAct Case ManagerMental Health Case Manager
Required CredentialsRelevant certifications, state licensure, social work or counseling backgroundSimilar credentials, often requiring licensure or certification in mental health
Work EnvironmentHospitals, clinics, community agencies, often with a focus on legal and social servicesCommunity mental health centers, outpatient clinics, hospitals
Employer & Industry UsageLegal, social services, healthcare agenciesMental health facilities, outpatient clinics, social service agencies
Common Search & ComparisonAct Case Manager vs Mental Health Case Manager

Both roles involve coordinating care and support for clients, but Act Case Managers focus on legal and social service aspects related to mental health crises, often working with legal authorities. Mental Health Case Managers primarily provide ongoing mental health support and treatment coordination. While overlapping in credentials and work environments, their primary focus and client interactions differ.

What are popular job titles related to Act Case Manager jobs in Delaware?

For Act Case Manager jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Act Case Manager jobs in Delaware look for?

The top searched job categories for Act Case Manager jobs in Delaware are:

What cities in Delaware are hiring for Act Case Manager jobs?

Cities in Delaware with the most Act Case Manager job openings:

Act Case Manager jobs near you

US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Indiana)

AstraZeneca

Wilmington, DE • On-site

Full-time

Posted 11 days ago

AstraZeneca rating

8.4

Company rating: 8.4 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

22nd of 86 rated pharmaceutical

Job description

This is what you will do:
The Field Reimbursement Manager (Rare Neurology, Hematology, & Nephrology) is a field-based, non-promotional role responsible for helping minimize barriers to patient access for our rare disease portfolio. You will act as the local subject matter expert on reimbursement, billing, coding, and patient support programs for assigned indications and therapies. By educating healthcare provider (HCP) offices, billing staff, and financial coordinators, you will help navigate complex coverage landscapes to ensure eligible patients receive timely access to therapy. This role reports directly to the Regional Field Reimbursement Director.
You will be responsible for:
  • Partnering with Alexion cross-functional partners on overall account and territory planning and strategy to maximize internal/external customer knowledge on payer policy and processes as well as routine documentation and presentation of plans.

  • Being a subject matter expert on reimbursement and regional-specific access landscape. This includes medical/pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of assigned Alexion indications and therapies while operating in full alignment with company policy, legal requirements, and compliance standards.

  • Develop and execute strategic account and territory plans that increase customer knowledge of reimbursement and access processes, using available resources, internal data, and field insights to prioritize activity and guide call objectives.

  • Collaborating with Alexion OneSource Patient Services on individual case management needs related to HCP education on reimbursement issues.

  • Identify, document, and communicate field insights related to payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs to help inform internal planning and decision-making.

  • Collaborating with cross-functional partners to share insights and coordinate/ plan activities; attending internal regularly (with market access, patient services, medical, sales, compliance, legal, and other relevant partners, as appropriate) and company meetings as requested.

  • Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters

  • Complying with all laws, regulations and policies that govern the conduct of Alexion activities; works with the highest degree of professionalism and in accordance with the company's code of Ethics and Business Conduct.

You will need to have:
  • Bachelor's degree

  • 5-7 years experience in the healthcare and/or pharmaceutical/biotech industry

  • 3+ years experience working with buy and bill and/or specialty pharmacy networks

  • 3+ years of field reimbursement experience

  • Understanding of access process from medical and pharmacy benefit design, Rx to infusion/injection

  • Experience with products that require prior authorization and clear understanding of related billing, coding and in-office support

  • Demonstrate adaptability to changing direction as conditions shift, learning mindset, taking ownership and driving actions

  • Excellent verbal, written, interpersonal communication and presentation skills

  • Ability to effectively communicate with people at all levels, inside and outside of the company

  • Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment

  • Demonstrated strong cross-functional collaboration skills, business planning, rapport building and active listening skills

  • Problem solver with a sense of urgency

  • Experience working through complex reimbursement issues

  • Experience working with billing and medical claim personnel in healthcare setting

  • Experience working with integrated health systems

  • Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.

  • The duties of this role are generally conducted in a field environment. As is typical of a field-based role, employees must be able, with or without an accommodation to: travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; engage in communications via phone, video, and electronic messaging; problem solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate with others; maintain general availability during standard business hours; operational reporting while traveling

Travel and Role Related Areas
  • Ability to travel to work related meetings and functions and ability to travel overnight for up to 4 nights per week

  • Ability to travel 60-75%

  • Ability to drive to assigned targets within the territory with Company provided Fleet Electric Vehicle

  • A valid driver's license and clean driving record

  • Ability to travel regionally and cover large multi-state territories

  • Must reside in the assigned territory; relocation assistance is not provided

We would prefer for you to have:
  • Rare disease experience

  • Understanding of the top regional and national payers within the assigned geography

  • Experience in launching a new specialty pharmaceutical/biologic product or new product indication

  • Neurology, Hematology and/or Nephrology experience

  • Experience working through complex reimbursement issues

  • Experience working with billing and medical claim personnel in healthcare setting

  • PACS (Prior Authorization Certification Specialist)

  • Familiarity with applying AI tools and techniques to enhance efficiency

Travel and Role Related Areas
  • Reside within Indiana

Date Posted
07-Aug-2026
Closing Date
06-Aug-2026
Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.

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