Senior Radiation Therapist

Vanderbilt University Medical Center•Nashville, TN
•Onsite

About The Position

Vanderbilt Health is seeking an experienced, ARRT-certified Senior Radiation Therapist to support its Radiation Oncology program in Nashville, Tennessee. The position combines active clinical care with leadership and team support, including mentoring therapists, helping coordinate daily operations, and supporting staff development while delivering care to adult and pediatric oncology patients. The role description gives differing allocations: the initial summary states approximately 90% clinical and 10% administrative, while the later role overview states approximately 60% clinical and 40% leadership and team support. The Senior Radiation Therapist administers radiation treatments, performs CT simulations and treatment localization, maintains patient records, and ensures adherence to radiation safety and departmental standards. The position also serves as a clinical resource, supports staffing coordination and workflow, assists with onboarding and training, and works with department leadership on operational initiatives and long-range planning. The therapist collaborates with physicians, physicists, dosimetrists, nurses, and other colleagues and provides compassionate care to patients across age groups. The program treats complex cases and clinical trial participants and uses advanced platforms including Varian TrueBeam, Varian Ethos Adaptive Therapy, Novalis TX, and Varian Edge. Therapists may work with IGRT, IMRT, total body irradiation, cardiac radiation therapy, and clinical trial therapies. The department includes 23 Radiation Therapists, with continued growth planned, and two Senior Radiation Therapists supporting therapist development and daily clinical operations.

Requirements

  • American Registry of Radiologic Technologists (ARRT) certification in Radiation Therapy (T).
  • Graduate of an accredited or approved Radiation Therapy program.
  • Tennessee licensure eligibility.
  • At least 3 years of relevant work experience.
  • Strong communication and interpersonal skills.
  • Commitment to exceptional patient care.

Nice To Haves

  • Experience mentoring, onboarding, or precepting Radiation Therapists.
  • Experience in a high-volume Radiation Oncology environment.
  • Interest in leadership and team development.
  • Experience with advanced radiation therapy technologies.

Responsibilities

  • Administer daily radiation therapy treatments accurately and efficiently to assigned pediatric, adult, and geriatric patients.
  • Perform CT simulations and clinical simulation and treatment localization procedures according to established department protocols.
  • Maintain accurate daily treatment documentation and other required records.
  • Ensure compliance with radiation safety requirements, hospital and departmental policies, and clinical standards.
  • Serve as a mentor and day-to-day clinical resource for Radiation Therapists.
  • Participate in the orientation and training of new Radiation Therapists, including treatment-unit procedures, protocols, on-call procedures, and simulation procedures; provide timely feedback to the clinic director.
  • Coordinate staffing and support workflow management to ensure procedures are completed in a timely and efficient manner.
  • Help develop clinical competencies, best practices, and therapist training.
  • Assist leadership with staff development, operational initiatives, and long-range planning related to treatment and simulation services, capital, and human resources for assigned areas.
  • Collaborate with Radiation Oncologists, Physicists, Dosimetrists, Nursing teams, and other multidisciplinary colleagues.
  • Provide compassionate, patient-centered cancer care.
  • Work as a staff Radiation Therapist in treatment and simulation areas as needed.

Benefits

  • Benefits starting Day One.
  • Competitive compensation.
  • Comprehensive medical, dental, and retirement benefits.
  • Continuing education and leadership development.
  • Long-term career growth opportunities.
  • Collaborative multidisciplinary environment.
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