Radiation Therapist, Lead

The Emory Clinic
Campus Location
Atlanta, GA, 30308
Campus Location
TEC Rad Onc Proton Trmt Ctr
Job Type
Regular Full-Time
Job Number
Job Category
Imaging & Radiology
Standard Hours
40 Hours


At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other.


As one of the leading academic medical systems, we’re eager to share what we learn with hospitals around the country, and the world. We’ve got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.


We’re defining a new standard of care for humankind. Are YOU ready to join us?


Job Description:

  • Under the supervision of the Chief Radiation Therapist, the, Sr. Radiation Therapist performs treatment and simulation procedures, and participates in coordinating radiation therapy services of patients receiving radiation therapy, as directed by the Radiation Oncologist.
  • Staff working in this role will provide supervision of daily activities; function as a liaison between the staff radiation therapists and other department team members for efficient, safe and patient-centered care; serves as a resource for team members to facilitate adherence to medical center and department guidelines and processes; provide guidance to staff therapist on technical procedures and operation of therapeutic equipment, and participate in developing therapy section standard work processes.
  • Maintain professional attitude; lead by example.
  • Performs radiation treatment and simulation procedures in accordance with the Radiation Oncologists instructions and departmental procedures.
  • Performs patient positioning and immobilization device construction to promote set-up consistency for daily treatments.
  • Provides thorough documentation of simulation set-up, and procedure information.
  • Prepare and/or administer IV and oral contrast.
  • Perform POCT testing for pregnancy, and in preparation for IV contrast administration.
  • Operate CT simulation unit, and supporting equipment; Power injector, gating, model construction equipment.
  • May assist in special procedures including HDR; Stereotactic Radiosurgery and Implants.
  • Prepares treatment room and equipment for patient according to the prescription and simulation, including placement of immobilization devices, setting of treatment devices, verifying parameters and any protection devices.
  • Evaluate images for technical quality, and proper positioning.
  • Ensure charges to patients for services rendered are accurately recorded.
  • Performs initial set-up checks to facilitate daily set-up consistency, and confirm congruency between prescription, treatment site, treatment plan parameters, and other relevant information.
  • Explains procedure, including pre- and post-simulation or treatment.
  • Answers questions and reassures patient before and after procedure.
  • Transfers patient to treatment table with care for IV s and catheters.
  • Checks patient treatment plan and delivers prescribed dose.
  • Maintains patient markings.
  • Changes markings according to physician's direction or need.
  • Documents treatment, in accordance with departmental protocols.
  • Keeps physician informed and adapts treatment per physician orders.
  • Acquires and analyzes digital radiographs of all treatment areas.
  • Observes radiation safety measures for patient and personnel.
  • Monitor patient visually and audibly during therapy procedure for any unusual reactions or events.
  • Uses judgment and informs physician if indicated by patient's condition, before proceeding with treatment.
  • Reports significant information to designated supervisory personnel.
  • Interface in a highly collaborative manner with all members of the patient's care team including: radiation oncologists, physicists, dosimetrists, nurses, social workers, administration and others.
  • Schedule patients for treatment to optimize department efficiency and patient convenience.
  • Report changes in patient's condition or inappropriate response to treatment to Radiation Oncologist or Nurse.
  • Assist with orientation and training of new or transfer staff to ensure competence in the functionality of all therapy related equipment.
  • Support training and oversight of radiation therapy students within the guidelines of the program and the department.
  • Assist with the maintenance of department facilities, equipment, and supplies.
  • Reports maintenance and repair needs to supervisor. Maintain a clean and order work area.
  • Participates in educational in-services, as appropriate.
  • Participates in professional activities and organizations to maintain and expand knowledge of current trends, practices, and developments.
  • Perform on-call duties to provide emergency treatments during non-clinic hours.
  • Demonstrate continuous competency on an annual basis on all applicable equipment in the department.
  • Participate in the evaluation of treatment devices. Maintain compliance with medical center and regulatory agency standards in regard to annual training, infection control, Radiation Protection guidelines, and credentialing requirements.
  • Ensure adherence to patient safety standards.
  • Complete daily QA process for CT scanner and Linear Accelerators.
  • Records results and reports suboptimal performance of these systems to the Medical Physicist and other designated personnel. Liaison with physicians, nursing and physics to carry out treatment and patient related treatment activities.
  • Manage patient wait times; update patients on unit delays, and work with staff to communicate with patients and coordinate rescheduling appointments when the unit is down.
  • Collaborate with Patient Care Coordinators in scheduling patient appointments.
  • Participate in the evaluation of treatment devices. Perform on-call and week-end duties if required.
  • Support proper function of therapy equipment. Report equipment issues to Physics and Chief Radiation Therapist. Leadership .
  • Support hospital and department policies and workflows.
  • Supervise daily therapy activities.
  • Provide guidance to staff therapist on executing MD instructions.
  • Serve as subject matter expert (SME) for special procedures, and simulations.
  • Establish machine rotations to facilitate cross coverage.
  • Participate in conducting training competency validations.
  • Conduct audits for ongoing support of regulatory standards; Joint Commission, APEx.
  • Schedule staff to provide adequate coverage for daily therapy activities, and on-call duties.
  • Maintain a clean and orderly workspace, and established supply and inventory par levels.
  • Assist with onboarding of new staff. Organize schedule to facilitate staff's participation in therapy meetings and in-services.
  • Conduct new plan and therapist chart check quality assurance audits on charts of those patients starting and under treatment; ensure required set-up instructions are recorded and plan timeouts are completed.
  • Support hospital and department Quality/safety event learning processes.
  • Complies with established department policies, procedures, objectives, quality assurance, safety, environmental and infection control.
  • Submits SAFE or RO-ILS reports as needed.
  • Participate and support department QA and QI initiatives.
  • Support hospital and department Quality/safety event learning processes.
  • Support efforts to maintain high patient satisfaction scores.
  • Participate in department research. Perform monthly inspection of treatment devices.
  • Inform Chief Therapist of devices needing repair or replacement.
  • Attend educational in-services as appropriate.
  • Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.
  • Perform all other duties assigned.
  • Provides patient care and/or support activities appropriate to all ages served, primarily adults ages 18-65 or geriatric patients ages overage 65.
  • May also include care for infant age 0-1 year, child ages 1-12 years or adolescent 13-17 years.

  • Minimum of three years experience as a radiation therapist with one year in a lead role photon and proton preferred.
  • Certificate or degree from an accredited Radiation Therapy Technology program.
  • ARRT certification required.
  • CPR training required.

    PHYSICAL REQUIREMENTS: (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

    ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste, Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.


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