Jobs › Northwestern Medicine

Histotechnician-Casual Rotating Shifts

Northwestern Medicine · DeKalb, IL · Part time · Health Care Provider

Posted Sep 21, 2026 · We last checked this listing on Oct 6, 2026

Apply at Northwestern Medicine

Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

This is casual and as-needed at Kishwaukee in DeKalb. How does that fit your life?

What they are checking: Honest fit with the arrangement and location the posting states.

What do you think happens downstream when this bench gets something wrong?

What they are checking: A histology error changes a diagnosis, and they never meet the patient.

What would you do

A tissue processor faults overnight. What do you do?

What they are checking: The posting names recognizing, resolving and documenting processor problems.

You come in after not working for a few weeks. What do you check before you start?

What they are checking: The real skill of casual laboratory work, which is confirming the instrument before trusting it.

About the work

Walk me through embedding a routine surgical specimen.

What they are checking: The posting names embedding biopsy, routine surgical and autopsy tissue per SOP.

How do you know tissue has processed adequately?

What they are checking: The posting names recognizing adequacy of processing, which decides everything downstream.

How do you orient a tissue correctly, and what happens if you do not?

What they are checking: The posting names identifying and orienting tissues correctly as a documented step.

Walk me through sectioning on the microtome and choosing a thickness.

What they are checking: The posting names operating the microtome per SOP and determining appropriate thickness.

How do you reconcile cassettes and blocks, and what do you do when the count is wrong?

What they are checking: The posting names both cassette-log and paraffin block reconciliation, which is how a specimen is not lost.

How do you prioritize blocks when several are urgent?

What they are checking: The posting names prioritizing blocks based on established guidelines.

Practice this interview out loud.

Offer builds a real interview for this exact role at Northwestern Medicine from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

Practice this out loud

The full job description

As published by Northwestern Medicine.

This is a casual / as-needed Histotechnician position located at Kishwaukee Hospital in DeKalb. The Histotechnician reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Histotechnician performs routine histology procedures, in accordance with all department specific SOPs and guidelines, resulting in the stained slides for microscopic review and diagnosis by the Pathologist. This position is responsible for communication with pathologists, residents, and coordinators/supervisors regarding specimen problems. The position is also required to participate in the laboratory occurrence management program. RESPONSIBILITIES: • Performs cassette-log reconciliation. Initiates appropriate programs on conventional and microwave tissue processors. Recognizes, resolves, and documents standard processor alarms. • Embeds biopsy, routine surgical, and autopsy tissues, if applicable, per SOP. Recognizes adequacy of processing. • Identifies and orients tissues correctly. Documents tracking and quality issues on embedding log. • Performs and documents routine paraffin block reconciliation. Prioritizes blocks based on established guidelines. • Operates microtome per SOP, and determines appropriate block orientation and alignment, knife angles, and settings to obtain representative sections. • Recognizes acceptable vs. unacceptable sections; evaluates instances in which specific tissue might require a deviation from standard procedures to ensure diagnostic sections are produced. • Appropriate documentation including specimen identification throughout all technical and clerical processes including in the laboratory information system, as well as cassettes, slides and logs, as required by regulatory compliance. • Operates automated instrumentation to stain and coverslip microscopic slides. • Performs manual methods during instrument downtimes. • Recognizes, resolves, and documents unacceptable staining, coverslipping results and/or instrument failure. • Performs special staining techniques using automated instrumentation and manual methods. • Identifies appropriate positive and/or negative controls. Evaluates stains microscopically for acceptable results. • Executes sectioning and staining of frozen tissued. Identifies and corrects staining deficiencies.¿ Documents stains and quality issues. • Performs and/or assists with gross examination, dissection, and selection of representative tissue for microscopic examination for designated specimen, if applicable by site. Resolves discrepancies prior to gross examination and escalates to supervisor or Pathologist when necessary. • Utilizes dictation equipment to document description per procedure, if applicable. • Investigates, escalates, and documents any discrepancies or unresolved issues appropriately. • Prioritizes technical workload based on assignment or established priorities, responds effectively to changes in workflow adjusting work to incorporate STAT requests or fluctuations in work volume. • Exercises independent judgment in the performance of technical responsibilities. • Practices the proficient and safe use of all equipment necessary for the completion of all duties and responsibilities within defined turn-around times. • May perform required Quality System responsibilities including initiating “Quality Investigation Reports”, if needed • Reports equipment or instrument malfunctions appropriately. • Maintains a clean and safe work environment to ensure efficient workflow and compliance with all regulatory requirements. Cleans and disinfects laboratory areas per SOP. Performs minor spill cleanup per SOP when necessary. • Notifies coordinator promptly of any supply issues. • May participate in Safety and Infection Control activities. Follows all required safety procedures, assumes a proactive role in laboratory safety. • Takes initiative for personal development by attending teleconferences, educational sessions, and required meetings, etc. • May participate in the training or teaching of students and staff in the department. Additional functions: • Performs other duties as assigned. • May be asked to assist in specific process improvement projects. • May be asked to assist with problem resolution regarding patient specimens including root cause analysis Required : • Associates degree (if hired after 1/19/2025) with a combination of 12 semester hours (18 quarter hours) in biology and chemistry OR must have successfully completed 60 semester hours (90 quarter hours) of academic credit from an accredited (regionally or nationally) college/university, with a combination of 12 semester hours (18 quarter hours) in biology or chemistry, qualifying the applicant to take the national ASCP certifying exam. Must provide proof of education as stated in CLIA guidelines. • Certification Requirement: Must obtain Histotechnician (HT) ASCP certification within 1 year of hire. • Must meet requirements for performing high complexity testing as defined by federal licensing guidelines (CLIA) and accreditation agencies (TJC,CAP) Preferred : • Associated degree as Histotechnician. Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Click on or copy and paste URL to your browser to view detailed benefits information NorthwesternMedicine Career Page https://jobs.nm.org/benefits Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings. If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception : New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

Apply at Northwestern Medicine