Therapeutic Radiologic Technologist (Radiation Oncology Service)

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement.

01Basic Requirements

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

02Education

Individuals must have successfully completed a program in therapeutic radiologic technology, evidenced by a certificate or an associate's or higher degree accredited by the Joint Review Committee on Education in Radiologic Technology or other accrediting bodies recognized by the U.S. Department of Education (ED) and the subsequent completion of a 12-month ED accrediting body-approved program in therapeutic radiologic technology.

Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 C.F.R. Part 75. They must have successfully completed an educational program meeting or exceeding the standards described in that regulation and is accredited by an organization recognized by the ED, and be radiation therapists certified by the ARRT in Radiation Therapy (T).

03Certification

All applicants must be certified in therapeutic radiologic technology by the ARRT in Radiation Therapy (ARRT (T)). Loss of Certification: Once certified, a TRT who fails to maintain the required certification must be removed from the occupation, which may result in termination of employment. English Language Proficiency: TRTs must be proficient in spoken and written English. See 38 U.S.C. § 7403(f).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

04Grade Determinations

Therapeutic Radiologic Technologist, GS-10 Experience: At least one year of experience equivalent to the next lower grade level directly related to the position being filled. Demonstrated Knowledge, Skills and Abilities: Candidates must demonstrate all the KSAs below: Skill in independently performing machine warm up procedures and interpreting output levels compared with established thresholds adhering to the principles of radiation safety and all aspects of quality assurance.

Ability to independently perform patient chart reviews using an electronic medical record and the Record and Verify System or other similar treatment delivery systems. Ability to independently perform all basic and complex CT simulations, including independently operating the CT equipment, following directives, designing custom immobilization for reproducible set-ups, obtaining optimal imaging, completing accurate data transfer for treatment planning and providing accurate and precise patient documentation.

Ability to utilize a Linac's On Board Imaging system to interpret complex images. Assignments: For all assignments above the full performance level, the higher- level duties must consist of significant scope, complexity, range of variety and be performed by the incumbent at least 25% of the time. Employees at this level serve as advanced staff TRTs independently carrying out procedures which have varying assignments.

This includes basic and advanced treatment modalities and procedures, which exceed the full performance level. Employee will be assigned the responsibility of emergency on-call treatments, if applicable, and perform simple Monitor Unit calculations. Other assignments include but, are not limited to performing CT simulations, troubleshooting for basic problems and machine issues, maintaining treatment rooms and equipment in a clean, neat and safe condition and assisting patients to and from the treatment room.

Regardless of the nature of the specific assignment, the work must be of sufficient scope and complexity to meet the knowledge, skills and abilities to perform at this level.

05Preferred Experience

Performs procedures for consultation, simulation, treatment planning, and treatment delivery, to include contrast administration. BLS Certification for Healthcare Providers. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-10.

06Physical Requirements

There are no physical requirements for this occupation per OCHCO Communications email to VA Handbook 5019, updated on 4/17/2026.

Therapeutic Radiologic Technologists (TRT) deliver prescribed high doses of therapeutic radiation for the purpose of treatment of cancer and abnormal cell growths. TRT's assist in the localization of tumors, participate in treatment planning, and deliver high doses of ionizing radiation as prescribed by the radiation oncologists. These treatments are performed by utilizing a linear accelerator. Functions: Perform procedures for consultation, simulation, treatment planning, and treatment delivery.

Keep current of any changes. Maintain detailed and accurate daily records of technical, legal and statistical components of treatment. Schedule treatments such that linear accelerator times are optimized while still leaving some flexibility for emergency treatment times. Deliver prescribed therapeutic radiation for the treatment of cancer and other abnormal growths. Take patient's identification photo for display in the patient's treatment chart.

For the initial treatment/filming, set up tattoos provided by CT simulation team following all setup instructions and using all prescribed devices. Take SSD readings and obtain isocenter verification films. Perform port film imaging as required. Document all changes in patients' chart and observe patient's condition daily. Able to recognize the need for emotional and psychosocial support for patients. Refer patients to departmental staff and other health care professionals as necessary.

Reinforce radiation oncologist's recommendations regarding general activities, diet, prevention and treatment of reactions to radiation therapy. Perform quality control measurements of all treatment machines by taking readings every morning prior to patient treatments using the physics quality assurance program for each energy level. Identify each patient by required identification protocols per hospital policy before each simulation and treatment is delivered/time out.

Communicate with medical staff on other floors/units for quality patient care. Follow HIPAA guidelines regarding patient privacy. Enter all pertinent daily information into patient's CPRS/VISTA, record regarding number of treatments and doses given for other hospital personnel to utilize in patient care. Maintain detailed and accurate daily records of technical, legal and statistical components of treatment.

Practice radiation safety protocols to limit exposure to patients, staff and self in compliance with department and VA radiation safety procedures to maintain the principles of ALARA (As Low As Reasonably Achievable). Perform daylight film processor procedures and ensures the processor is operating optimally when being used, and contacts processor engineer if problems occur. Maintain treatment rooms and equipment in a clean, neat, safe condition and keep treatment room supplies at an adequate level.

Notify supervisor/physics staff about treatment equipment issues. Report all environmental and other equipment problems to the proper authorities. Notify physicians if this will impact patient care and/or treatment. Perform irregular hour's emergency treatments during the clinics off hours including after hours, weekends, and holidays. The therapist on call must be available to arrive within two hours of notification to ensure the best emergency care is given to the patient.

Work with Radiation Oncologists, Dosimetrists, nursing and clerical staff plus fellow radiation therapists to develop teamwork to effectively and efficiently accomplish the goals of the radiation therapy department. Continually keep current with new developments in the field of radiation therapy and keep licensing and continuing education requirements up to date. Keep current on treatment machine characteristics including various energy and output levels.

Operate equipment to determine correct dose and field uniformity. Provide patient with accurate and compassionate treatment and acts as a supportive caregiver. Follow established safety practices and report to facility director or administrative service manager as promptly as possible if issues arise as to unsafe conditions, unsafe practices, or any occupational illness or injury. Adhere to all safety and health standards regulations, work practices, and use proper protective equipment as needed.

Participate in reviewing, revising or authoring policies and procedures that need attention. Perform accurate charge capture, documentation and CPT codes. Other duties as assigned. Work Schedule: Monday-Friday, 7:30am-4:00pm. Telework: Not available. Virtual: This is not a virtual position. Relocation Incentive: May be authorized for highly qualified candidates relocating more than 50 miles. EDRP Authorized: Former EDRP participants ineligible to apply for incentive.

Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not authorized.