Radiation Therapist

Urology Clinics of North Texas, PLLC; Trophy Club (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Urology Clinics of North Texas, PLLC seeks a Radiation Therapist to deliver prescribed radiation therapy accurately under supervision. You will prepare treatment rooms, position patients, and review images per protocol while maintaining patient-centered care.

Strong team collaboration and communication are essential, along with ARRT registration, Texas licensure, and BLS certification. Prior CT simulation and imaging experience are advantages in a fast-paced clinic setting.

Qualifications

• Associate or Bachelor’s degree in Radiation Therapy or approved certificate program.
• Current ARRT registration in Radiation Therapy and Texas licensure.
• Basic Life Support certification.
• Ability to operate radiation therapy and simulation equipment safely.

Responsibilities

• Deliver prescribed radiation therapy accurately with supervision and adherence to protocol.
• Confirm patient identity, diagnosis, and treatment parameters before each session.
• Prepare treatment room and immobilization devices per instructions.
• Position patients safely and assist with transfers as needed.
• Ensure proper dose delivery and daily treatment documentation.
• Review treatment images and escalate discrepancies.
• Educate patients on procedures and potential side effects.
• Maintain patient-centered communication and monitor for changes.

Skills

Patient-centered care

Clinical and technical accuracy

Communication and education

Teamwork and collaboration

Safety awareness

Education

Associate or Bachelor’s degree in Radiation Therapy

Certificate program completion

Tools

ARIA

Eclipse

Varian TrueBeam

CT simulation

Image-guided RT

Job description

The Radiation Therapist provides safe, accurate, and compassionate radiation therapy services in accordance with the prescription and instructions of the Radiation Oncologist and under the general supervision of the Medical Physicist. The position maintains clinical and technical competency, accurate treatment documentation, compliance with departmental procedures, and a high standard of patient-centered care.

Essential Functions - Patient Treatment and Clinical Care

• Deliver prescribed courses of radiation therapy accurately and with minimal supervision, following the Radiation Oncologist’s prescription, approved treatment plan, and departmental protocols.
• Confirm patient identity, diagnosis, treatment site, prescription, calculations, and required approvals before treatment.
• Prepare the treatment room and equipment based on physician and treatment-planning instructions, including immobilization devices, field size, treatment distance, positioning, and accessories.
• Transfer and position patients safely on the treatment couch, providing special assistance for patients using stretchers, wheelchairs, intravenous therapy, or other supportive devices.
• Ensure proper radiation dose delivery and daily recording of treatment.
• Acquire and review treatment images according to departmental standards and elevate discrepancies before proceeding.
• Observe patients for unusual reactions or changes in condition and promptly report concerns to Nursing, the Radiation Oncologist, or other appropriate clinical staff.
• Provide clear explanations of procedures, reinforce education regarding side effects and general care, and confirm patient understanding.
• Maintain visual and auditory contact with the patient during treatment and respond appropriately to emergencies.

Essential Functions - Simulation, Documentation, and Workflow

• Perform CT simulation and clinical setup activities within the therapist’s scope of practice.
• Document all simulation and treatment parameters accurately in ARIA or the designated oncology information system.
• Maintain complete treatment charts, patient markings, approvals, and supporting documentation.
• Assist with patient scheduling and coordinate treatment appointments to support timely care.
• Perform weekly chart checks as assigned to verify treatment documentation, billing accuracy, and appropriate CPT capture.
• Maintain clean, organized treatment, simulation, console, and patient changing areas.

Essential Functions - Equipment, Quality, and Safety

• Perform required equipment warm-up, daily output checks, and assigned daily or weekly quality assurance activities for treatment and simulation equipment.
• Report equipment malfunction, service needs, treatment discrepancies, or safety concerns immediately to the Chief Radiation Therapist, Medical Physicist, or appropriate leader.
• Coordinate service access with engineers or vendor representatives as directed and document service-related issues appropriately.
• Handle equipment carefully and support preventive maintenance, repair, and safety processes.
• Maintain radiation exposure within applicable limits and follow ALARA principles, department safety procedures, and state reporting requirements.
• Review and sign required radiation safety documentation and participate in drills, audits, and corrective actions.

Compliance and Professional Responsibilities

• Follow UCNT/CCNT policies, Behavioral Expectations, Customer Service Standards, HIPAA requirements, infection-control practices, and all applicable laws and regulations.
• Maintain current licensure, registration, certification, and continuing education.
• Demonstrate respect, professionalism, adaptability, teamwork, and effective communication with patients, families, physicians, and coworkers.
• Perform other duties as assigned by the Radiation Oncologist, Medical Physicist, Chief Radiation Therapist, or organizational leadership.

Acknowledgment

This job description summarizes the primary duties and requirements of the position. It is not intended to be an exhaustive list. Responsibilities may be modified or reassigned based on organizational needs, patient care requirements, and applicable law.

Qualifications

Must reside in the Dallas/Fort Worth metroplex to be considered

Minimum Qualifications

• Associate or bachelor’s degree from an accredited Radiation Therapy program, or completion of an approved certificate program.
• Current ARRT registration in Radiation Therapy.
• Current Texas Medical Radiologic Technologist licensure or other license required to practice in Texas.
• Current Basic Life Support certification.
• Demonstrated ability to operate radiation therapy and simulation equipment safely.

Preferred Qualifications

• Experience with ARIA, Eclipse, Varian TrueBeam, CT simulation, and image‑guided radiation therapy.
• Certified Medical Radiologic Technologist credential in Texas.
• One or more years of recent radiation oncology experience.

Core Competencies

• Patient-centered care
• Clinical and technical accuracy
• Communication and education
• Teamwork and collaboration
• Adaptability and readiness for change
• Safety awareness and accountability

Physical and Work Requirements

• Frequent standing, walking, bending, reaching, and positioning of patients.
• Ability to assist with transfers and move equipment or supplies consistent with departmental safety practices.
• Regular exposure to clinical environments, radiation therapy equipment, and patients with complex medical conditions.
• Ability to maintain concentration during repetitive and highly precise tasks.

Success Measures

• Accurate delivery and documentation of prescribed treatments.
• Completion of treatments, simulations, imaging, and chart checks within required timeframes.
• Compliance with safety, QA, accreditation, and regulatory standards.
• Timely escalation of clinical, equipment, or documentation concerns.
• Positive patient experience and effective multidisciplinary collaboration.