Community Health Worker Model, wherein the CHW would be working with with the current Transition Care program to avoid preventable readmissions.The Community Health Worker is responsible for providing outreach and case management to clients; providing assistance to the delivery team (physicians, nursing staff, or social workers) by coordinating care and services for patients/clients in order to maximize use of available resources and to offer complete preventative care to those in need. The CHW may provide follow up phone calls and home visits to patients and their families to help teach and train in areas of health logistics, health behavior modification and other life and wellness skills to manage their health. The CHW will work under the supervision of a Nurse, Case Manager, Social Worker or other assigned staff. This is a Grant funded temporary full-time position that requires the ability to work a flexible schedule. General daytime hours: Monday - Friday; possible weekend during fairs or events. Training in a related social service or human service field, and experience working in the community and with patients with co-morbid conditions. Successful completion of a Community Health Worker formal training program such as from a college or other education institution is preferred. Bilingual candidates a plus Newark Beth Israel Medical Center is an Equal Opportunity Employer.