Therapeutic Radiologic Technologist

Duties

To qualify, the incumbent must be a graduate of a JRCERT-accredited program, hold ARRT (T) certification, and possess a minimum of five years of recent clinical TRT experience. The position requires advanced technical knowledge across complex radiation therapy specialties-such as CT simulation, IGRT, VMAT, and SBRT-as well as the ability to operate specialized equipment like the Canon Aquillian CT Simulator, VARIAN TRUEBEAM and VARIAN TRILOGY Linear Accelerator. The clinician must collaborate closely with the wider oncology team to ensure safe, highly accurate, and patient-centric care.

Primary Duties and Functions

Treatment Planning & Simulation: Performs complex CT simulations for tumor localization using a CT simulator, prepares required contrast media, and fabricates custom patient immobilization devices.
Radiation Delivery: Accurately reproduces treatment setups and delivers prescribed therapeutic doses of radiation using a Linear Accelerator, utilizing advanced technologies like IGRT, VMAT, 3D conformal, and SBRT.
Quality Assurance (QA): Conducts daily morning QA, mechanical, and dosimetric checks on the CT Simulator and Linear Accelerators, documenting results and troubleshooting minor equipment issues.
Data & Record Management: Utilizes Electronic Medical Records (EMR) systems (ARIA, CPRS) to document treatment delivery, capture workloads with proper ICD10/CPT codes, and verify chart accuracy.
Patient Safety & Care: Verifies patient identification and consent in compliance with HIPAA, recognizes treatment side effects, practice safe patient handling, and maintains a sterile, clean environment.
Radiation Safety Execution: Maintains comprehensive knowledge of NRC and OSHA regulations, utilizing film badges and strictly adhering to ALARA (As Low As Reasonably Achievable) principles to minimize exposure.
Interdisciplinary Collaboration: Partners with Radiation Oncologists, Physicists, and Dosimetrists to select treatment isocenters, transfer data sets to Treatment Planning Systems, and communicate plan modifications.
On-Call & Emergency Coverage: Optimizes daily schedules to accommodate emergency cases and maintains the flexibility to arrive at the clinic within two hours for regular off-hours emergency treatments.

Requirements

Conditions of employment

You must be a U.S. Citizen to apply for this job.
All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
Selective Service Registration is required for males born after 12/31/1959.
Must be proficient in written and spoken English.
Subject to background/security investigation.
Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver’s licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
Must pass pre-employment physical examination.
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Complete all application requirements detailed in the “Required Documents” section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
your performance and conduct;
the needs and interests of the agency;
whether your continued employment would advance organizational goals of the agency or the Government; and
whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications
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.