Under minimal supervision, exercises a high degree of independent judgment and technical expertise as a Medical Technologist by performing tasks of high complexity in connection with one or more specialized areas related to Point of Care Testing (POCT), Biochemistry, Microbiology, Blood Banking, Hematology, Immunology or elsewhere within the Department of Pathology.  Provides technical guidance, training and direction to Medical Technologist I and II, as well as others.  Under general directions may perform duties associates with providing for adequate coverage within the laboratory on a particular shift and by ensuring that laboratory procedures are carried in an effective manner.  Confers with other Technologists, supervisors and administrative staff as to a strategy for operating the laboratory at optimal levels.  Assists with the development and incorporation of new methods, approaches and procedures for the unit.  Assumes responsibility for one or more areas with respect to monitoring or ensuring compliance with governmental or other regulatory standards, explaining them to others or providing quality control.  Helps develop written procedures and manuals relative area of expertise and assists with safety and administrative tasks as required.  Exercises independent judgment in a variety of matters, subject to administrative approval.