Hospital - Cytologist, Senior

The Hospital Senior Cytologist performs advanced microscopic evaluation of specimens to detect precancerous and malignant conditions. Provides on-site adequacy assessments for most Fine Needle Aspirate (FNA) procedures and applies expertise in cytopreparatory techniques in a hospital setting. Serving as a subject matter expert, the Senior Cytologist supports quality assurance, training, and compliance with CLIA standards, ensuring accurate diagnoses and high-quality patient care. Ensures the team complies with federal and state regulatory standards and follows UT Health San Antonio Multispecialty & Research Hospital policies and procedures. Advanced analytic skills in cytologic diagnosis, specimen evaluation, and testing methodologies. Strong organizational and multitasking abilities in a fast-paced hospital environment. Proven ability to work independently and support physicians by providing accurate, timely cytologic findings. In-depth knowledge of College of American Pathologists (CAP) and Clinical Laboratory Improvement Amendments (CLIA) regulations. Expertise in quality control and quality assurance principles, practices, and tools. Proficiency in writing and updating laboratory procedures in compliance with regulatory standards. Demonstrated ability to train, mentor, and guide associate and intermediate cytotechnologists in cytology techniques and best practices. Skilled in fostering collaboration and cooperation within multidisciplinary teams. Excellent verbal, written, and interpersonal communication skills. Perform independent microscopic evaluation of gynecologic, non-gynecologic, and fine needle aspiration (FNA) specimens, providing accurate diagnostic findings and reports using accepted medical terminology. Assess specimen adequacy and quality, providing on-site adequacy evaluations for FNAs and assisting cytopathologists in determining preliminary diagnoses. Render and report final interpretations for negative gynecologic specimens in accordance with regulatory requirements and laboratory protocols. Conduct rescreening of designated quality control and high-risk specimens, ensuring compliance with CAP, CLIA, and hospital standards. Participate in FNA services, including specimen preparation, slide staining, adequacy assessments, and continuous improvement of procedural workflows. Collaborate with physicians and clinical staff on specimen triage, collection techniques, and diagnostic support. Lead quality assurance and quality control initiatives by collecting, analyzing, and reporting data; maintain laboratory records, workload information, and compliance documentation. Oversee cytology laboratory operations, including instrument maintenance, reagent preparation, supply inventory, and ordering systems. Develop, write, and update laboratory procedures to ensure compliance with CAP and CLIA guidelines. Train, mentor, and supervise cytotechnologists and new employees; provide guidance in advanced cytology techniques and professional development. Contribute to laboratory management activities, including staff supervision, process improvement, and regulatory readiness. Perform other related duties as required to support laboratory and hospital goals.