Chief Radiation Therapist

Chief Radiation Therapist

US Cancer Management Corporation - Fresno Cancer Center
Fresno, California | Full-Time | $176,800-$187,200 annually

**$15k signing bonus**

US Cancer Management Corporation is seeking an experienced and motivated Chief Radiation Therapist to lead the Radiation Therapy Department at Fresno Cancer Center .

This is a working leadership position for an experienced Radiation Therapist who enjoys combining clinical expertise with team leadership. The Chief Radiation Therapist will oversee daily radiation therapy operations, supervise and develop Radiation Therapists and clinical staff, support regulatory and accreditation requirements, and provide direct patient treatment and CT simulation coverage as needed.

The ideal candidate is a confident clinical leader with strong technical knowledge, excellent communication skills, and a commitment to patient safety, accountability, teamwork, and compassionate care .

About Fresno Cancer Center

Fresno Cancer Center is an established, freestanding radiation oncology practice dedicated to providing high-quality, patient-centered cancer care. The center is APEx-accredited and provides a broad range of advanced radiation therapy services, including:

VMAT/RapidArc
SRS and SBRT
IGRT
IMRT
Conventional 2D and 3D treatments
Our department utilizes Varian TrueBeam and Varian iX linear accelerators , an in-house GE Discovery CT simulator, Varian Eclipse treatment-planning software, and the ARIA oncology information system.

The department treats approximately 60 patients per day and performs approximately 5-6 CT simulations daily .

What You'll Do

Clinical & Operational Leadership

• Oversee daily radiation therapy treatment and CT simulation operations.
• Provide direct treatment and CT simulation coverage when operational needs require.
• Coordinate daily treatment and simulation schedules, including urgent and add-on cases.
• Serve as a clinical resource for complex treatment procedures and patient-care issues.
• Ensure treatments are delivered safely and accurately in accordance with physician orders, treatment plans, departmental protocols, and regulatory requirements.
• Oversee treatment time-outs, image guidance, dry runs, safety checks, chart checks, and other required clinical processes.
• Monitor treatment delays, patient wait times, workflow, staffing levels, and departmental productivity.
• Conduct daily safety huddles and regular staff and technical meetings.
• Collaborate closely with Radiation Oncologists, Medical Physicists, Dosimetrists, Nursing, and administrative leadership.

Team Leadership & Staff Development

• Supervise, schedule, coach, and evaluate Radiation Therapists and applicable clinical support staff.
• Coordinate staffing coverage, time-off requests, overtime, attendance, and timekeeping.
• Ensure appropriate meal and rest break compliance in coordination with Human Resources.
• Lead onboarding, training, competency validation, and ongoing professional development.
• Establish clear performance expectations and provide timely coaching and feedback.
• Address performance concerns in accordance with Company policies and applicable law.
• Support recruitment, interviewing, selection, and retention of radiation therapy staff.
• Build a positive department culture centered on accountability, communication, teamwork, and patient-centered care.

Quality, Safety & Compliance

• Ensure compliance with applicable regulatory and accreditation requirements, including CDPH, NRC, CMS, and Joint Commission requirements, as applicable.
• Oversee treatment-chart audits, new-patient QA reviews, chart checks, and other departmental quality activities.
• Ensure incidents, near misses, treatment deviations, equipment concerns, and patient injuries are promptly reported and appropriately escalated.
• Participate in root-cause reviews and corrective-action activities.
• Maintain radiation safety standards and departmental safety procedures.
• Assist with regulatory inspections and corrective-action plans.
• Review and update departmental policies, procedures, protocols, and competency requirements as needed.
• Maintain appropriate compliance, QA, audit, and competency documentation.

Process Improvement & Growth

• Evaluate workflows and identify opportunities to improve efficiency, patient throughput, and quality.
• Collaborate with Physics and Dosimetry regarding simulation, treatment planning, and machine utilization.
• Monitor key departmental performance indicators.
• Assist with equipment planning, capital projects, technology implementation, and new program development.
• Support programs involving advanced treatment techniques such as SRS, SBRT, and HDR brachytherapy, as applicable.
• Coordinate departmental supplies and equipment needs.

Patient Experience

• Promote a safe, respectful, and compassionate patient experience.
• Ensure patients receive appropriate education regarding radiation therapy procedures.
• Address patient concerns, grievances, and service-recovery needs.
• Support consistent adherence to patient-experience processes.
• Maintain a calm, professional presence during challenging clinical situations.

Schedule

• Full-time
• 40 hours per week
• Monday-Friday
• Schedule may be adjusted based on patient-care and operational needs.
• Evening, weekend, or on-call coverage may be required as scheduled.

Compensation & Benefits

Annual Salary: $176,800-$187,200

**$15k signing bonus**

Benefits include:

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k)
• 401(k) matching
• Paid time off
• Retirement plan

Why Fresno?

Fresno offers an opportunity to build a career in a growing Central California community while enjoying a lifestyle that combines affordability, sunshine, outdoor recreation, and convenient access to some of California's most desirable destinations.

The Fresno-Clovis area offers a diverse community, excellent local dining, farmers markets, wineries, breweries, sporting events, parks, trails, and year-round community activities. Outdoor enthusiasts have easy access to Yosemite, Kings Canyon, and Sequoia National Parks, while California's Central Coast is within reach for weekend getaways.

With a lower cost of living than many major California metropolitan areas and access to both the Sierra Nevada and the Central Coast, Fresno provides an attractive setting for professionals looking to grow their careers while enjoying a well-rounded California lifestyle.

Join Our Team

If you are an experienced Radiation Therapist ready to take the next step into a hands-on leadership role, we invite you to apply.

This is an opportunity to make a meaningful impact-not only through the safe and accurate delivery of radiation therapy, but also by developing a strong clinical team and helping shape the future of radiation oncology services at Fresno Cancer Center.

Email CV to View email address on click.appcast.io

Required Qualifications

• Graduate of an accredited Radiation Therapy program.
• Current ARRT certification and registration in Radiation Therapy (R.T.(T.)).
• Current California Therapeutic Radiologic Technology certificate.
• Current BLS certification.
• Minimum 5 years of clinical experience as a Radiation Therapist.
• Minimum 2 years of supervisory or leadership experience in radiation therapy.
• Advanced knowledge of linear accelerator operations, CT simulation, IGRT, IMRT/VMAT, SRS/SBRT, and radiation therapy workflows.
• Strong knowledge of radiation safety, quality assurance, and regulatory compliance.
• Demonstrated ability to supervise staff, manage schedules, address performance issues, and maintain regulatory readiness.
• Excellent written and verbal communication skills.
• Strong organizational, leadership, and problem-solving abilities.
• Ability to provide direct clinical coverage during staffing shortages, emergencies, or unexpected absences.

Preferred Qualifications

• Bachelor's degree in Radiation Therapy, Healthcare Administration, or a related field. Additional relevant supervisory or leadership experience in radiation oncology may be considered in lieu of a bachelor's degree.
• Experience with Varian TrueBeam, Varian iX, Eclipse, and ARIA .
• Experience with SRS, SBRT, VMAT, IGRT, and other advanced radiation therapy techniques.
• Experience with process improvement, accreditation, and regulatory inspections.

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