Welcome Joseph A. Borges, MD, MHA Associate Executive Director, Care Management/Utilization Review
Dr. Joseph A. Borges has a diversified working experience as a healthcare professional in various academic health systems in the New York region. He received a Bachelor of Science in Biology from Saint Louis University, a Medical Diploma from The Autonomous University of Guadalajara, and a Master of Healthcare Administration from Iona College. He has had progressive leadership experience in multiple areas of healthcare delivery. Dr. Borges has worked for The Visiting Nurse Service of New York as a Continuum Care Specialist in the year 2000. Lenox Hill Hospital contracted its Outcomes Management Team to redesign Utilization Management and Case Management. He and some of his team members eventually became Lenox Hospital employees when their contracts expired approximately two years later, in 2002. He assumed the role of Assistant Director of Patient Care Management. At this time, Dr. Borges also obtained a Master's Degree in Health Services Administration at Iona College in 2006. Three years later, Dr. Borges joined the Utilization Management Team at Montefiore Medical Center and managed all campus sites in 2006 as the Assistant Director of Clinical Care Management. That same year he was allowed to develop and implement a new case management program at Westchester Medical Center, a Level I Trauma Center, as the Director of Case Management. The new program was highly successful, as efficiencies decreased hospital length of stay by 0.5 days. Six months later, he was promoted to Vice President, Clinical Care Management. Additional progressive administrative responsibilities included the following: Acute Rehabilitation, Physical Therapy, Speech and Audiology, Bed Management, Transfer Center, Aids Care Center, Ambulatory Clinics, and general oversight over the Allied Health Professionals consisting of Nurse Practitioners and Physician Assistants. Simultaneously, he became a Clinical Professor of Medicine at New York Medical College. Serving as a board member for the Westchester Public/Private Partnership for Aging Services allowed him to connect with his community. After five years, Dr. Borges decided to join the North Shore-LIJ Health System (Northwell Health) and was based at Long Island Jewish Medical Center in 2011. As the Senior Administrative Director of Clinical Operations, he was responsible for Case Management, Social Work, and Medicaid Eligibility Unit. Six months later, he also became the administrator of the Ambulatory Care Unit. Approximately three years later, in 2014, Dr. Borges became a subject matter expert for Care Management/Population Health Management for Philips Healthcare. He was the clinical lead for care management redesign projects across the continuum of care for various health systems in North America. He established strong working relationships with client sponsors and became their trusted advisor. In 2017 he crossed the Hudson River to develop a Triad Model as the Executive Director of Care Coordination at University Hospital, a Level 1 Trauma Center in Newark, New Jersey. This model significantly reduced payer denials and reduced inpatient length of stay. Dr. Borges continues to explore opportunities for professional growth and ways to make a meaningful impact on human-centric healthcare delivery systems.
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