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.

• 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.

• 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.