At Northbay Health, the Metabolic and Bariatric Surgery (MBS) Program Coordinator is responsible for supporting and maintaining an MBSAQIP-accredited Center of Excellence through continuous compliance with accreditation standards, regulatory requirements, and evidence-based practice. Working directly with the MBS Director, the Coordinator plays a critical role in program operations, quality improvement, data oversight, education, and interdisciplinary collaboration.
The Coordinator serves as a key liaison across Northbay Health departments and collaborates with the metabolic and weight loss program to support seamless patient navigation throughout the continuum of care (pre-operative, peri-operative, and post-operative). The Coordinator also collaborates with others, as appropriate, to support program initiatives, education, and quality improvement activities.
Accreditation, Regulatory Compliance, and Program Oversight
- Assists the MBS Director in managing and maintaining continuous compliance with MBSAQIP standards, Joint Commission (or equivalent) requirements, and applicable federal and state regulations.
- Serves as the designated liaison between the center and MBSAQIP, ensuring timely communication, documentation, and readiness for site visits.
- Actively participates in all MBSAQIP site visits and accreditation reviews for the center.
- Maintains knowledge of accreditation criteria, regulatory standards, and organizational policies and serves as a resource to staff and leadership.
- Supports the development, implementation, and ongoing maintenance of policies, pathways, and protocols aligned with evidence-based practice.
- Serves as a liaison between the facility and all metabolic and bariatric proceduralists, including surgeons providing call coverage.
- Assists in maintaining documentation of surgeon call schedules and ensures accessibility to departments involved in bariatric patient care.
- Collaborates as required to support operational planning and workflow optimization.
- Fosters collegial and collaborative relationships across departments and disciplines.
- Maintains confidentiality of all related program information.
- Demonstrates accountability for professional practice.
- Participates in committees, task forces, and work groups as assigned.
- Facilitates the Metabolic and Bariatric Surgery (MBS) Committee, including preparation of agendas, documentation of meeting minutes, and follow-up on action items.
- Attends at least two of the three required MBS Committee meetings annually, including the annual comprehensive review meeting, and the majority of other meetings.
- Performs other duties as assigned.
Quality Improvement and Data Management
- Oversees bariatric program data collection processes and verifies that data are accurate and consistent with patients' medical records.
- Monitors outcomes data, quality indicators, and performance metrics to support patient safety and quality improvement initiatives.
- Collaborates with management and program leadership to support the planning, implementation, and evaluation of quality improvement projects.
- Works closely with the MBS Clinical Reviewer to ensure timely and accurate submission of data to the MBSAQIP Registry.
- Identifies trends, variances, and opportunities for improvement and supports corrective actions.
Patient Navigation and Coordination of Care
- Supports patient navigation across Northbay Health services and coordinates care with the metabolic and weight loss program and other relevant departments.
- Maintains knowledge of pre-operative, peri-operative, and post-operative processes, pathways, and protocols to ensure continuity and coordination of care.
- Provides education and counseling to patients, families, and caregivers related to bariatric surgery, treatment plans, and available resources.
- Partners with patients, families, interdisciplinary teams, and community resources to deliver coordinated, timely, and patient-centered care.
- Communicates patient needs, concerns, and care coordination issues to appropriate members of the healthcare team.
- Identifies patient safety risks and supports implementation of practices to reduce harm.