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Covenant Health

RADIATION THERAPIST II

Company : Covenant Health

Location : Knoxville, TN, 37916

Job Type : Full Time

Date Posted : 9 January 2026

Overview

Radiation Therapist

Full Time, 80 Hours Per Pay Period, Day Shift

Fort Sanders Regional Overview:

Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care.

Fort Sanders Regional is part of Covenant Health, East Tennessee’s largest nonprofit health system and a Becker’s “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs.

Position Summary:

The Radiation Therapist II is an experienced radiation therapist and provides accurate radiation treatment to patients as prescribed by the radiation oncologist while also developing a positive, trusting, caring, and professional relationship with patients and coworkers. Responsible to administer therapeutic radiation to pediatric, adolescent, adult, and geriatric patients under the direct and indirect supervision of the radiation oncology team leaders including Lead Therapist, Supervisor/Manager/Director of Radiation Oncology, Medical Physics, and the Radiation Oncologist. Increased responsibilities including acting as primary therapist, independently completes or leads more complex tasks, shares insights, and trains new or less experienced RTs. Enhances departmental operations through consistently respectful and positive communication with coworkers, patients, patients’ family members, and visitors. Uses independent judgment to maintain continuity of patient care of the highest standards, in an efficient, caring manner.

Recruiter: Jennifer Gordon || apply@covhlth.com

Responsibilities

  • Reviews prescription, diagnosis, patient chart, and patient identification for accuracy prior to every treatment.
  • Works with radiation oncology team to identify, prepare, and construct equipment such as immobilization devices, treatment tools, and protection devices to achieve repeatable patient positioning per the radiation treatment plans.
  • When working as a team with another therapist, acts as a double check for safety and quality.
  • Positions patients for treatment (utilizing treatment devices when prescribed) with accuracy according to radiation oncologist's prescription.
  • Administers the prescribed doses of radiation defined in patient's treatment plan, to the specified target area of the patient's body using radiation therapy equipment according to established practices and standards.
  • Performs all safety and quality checks on radiation therapy equipment to ensure proper operation. Effectively communicates treatment machine issues to radiation oncology leaders and the operating engineers.
  • Educates, prepares, and reassures patients and their families by answering questions, providing physical assistance, and reinforcing physician's advice regarding treatment reactions and post-treatment care.
  • Enters accurate patient data into equipment computer and set controls to operate and adjust radiation therapy delivery equipment and regulate dosage.
  • Observes and reassures patients during and after treatment and reports to physician any unusual reactions or concerns about changes in patient's status.
  • Consistently follows principles of radiation protection for patient, self, and others.
  • Analyzes problems when patient setups are not reproducing and takes appropriate corrective action.
  • Troubleshoots problems with equipment, patient medical conditions, and patient satisfaction situations and escalates concerns that cannot be immediately corrected.
  • Maintains treatment schedules, gives proper notification to patients of treatment times, and notifies patients of any scheduling delays or changes.
  • Maintains accurate and timely records per department/practice guidelines, including information as radiation dosages, elapsed days, equipment settings, appropriate charge capture, and patients' reactions.
  • Works within scope independently, utilizing self-direction to prioritize the workload and carry out tasks with flexibility for volume variances.
  • Follows procedures to respond quickly and without immediate assistance in an emergency.
  • Communicates effectively in writing and speaking to convey information professionally and accurately.
  • Participates in maintaining neat, clean, and stocked treatment rooms and console area.
  • Works toward achieving department goals and objectives and participates in quality improvement initiatives as requested.
  • Trains and supervises Radiation Therapy students or newly hired radiation therapists.
  • Participates in radiation specific educational opportunities and training sessions to further professional growth and skills.
  • Reviews simulation and treatment charges for accuracy and completion.
  • Acts as treatment room lead for SBRT Delivery.
  • Acts as treatment room lead for pediatric sedation treatment delivery.
  • Safely administers IV contrast for CT Simulations.
  • Collaborates with medical physics and equipment / proton engineers to complete daily machine QA.
  • Completes patient specific QA as requested by Medical Physics.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Minimum of two (2) years’ experience as a Certified Radiation Therapist and demonstrated ability to complete tasks, meeting the required skills to promote into the Radiation Therapist II position is required.

Licensure Requirement:

Maintains ARRT (T) and CPR certifications. CPR required.

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Frequently asked questions

Knoxville’s healthcare sector shows moderate demand for experienced Radiation Therapist II professionals. Given Covenant Health’s reputation, candidates with strong ARRT certification and at least two years of experience tend to have favorable hiring prospects amid regional demand for oncology care.

Employers around Knoxville, including Covenant Health, typically require active ARRT (T) certification and current CPR credentials. These certifications ensure compliance with state healthcare regulations and reflect competency in radiation therapy, crucial for patient safety and treatment accuracy.

Radiation Therapist II professionals independently manage complex treatment setups, lead quality assurance tasks, and often mentor new therapists. Their role extends beyond standard delivery, involving troubleshooting equipment issues and coordinating with medical physics teams for precise radiation dosing.

Advancement paths include leading specialized treatment teams, engaging in departmental leadership roles, or pursuing further certifications such as dosimetry. Experience at the Radiation Therapist II level builds a foundation for supervisory positions or clinical educator roles within oncology departments.

Expertise in patient positioning, radiation safety protocols, and equipment calibration distinguishes this role. Additionally, strong communication skills for patient reassurance and the ability to perform independent quality checks are vital for maintaining treatment efficacy and safety.

At Covenant Health, Radiation Therapist IIs play a pivotal role by balancing technical treatment delivery with compassionate patient interaction. They also contribute to quality improvement initiatives and training programs, aligning with the system’s emphasis on clinical excellence and professional development.

Covenant Health values Radiation Therapist IIs who demonstrate leadership in complex treatment modalities like SBRT and pediatric sedation. Candidates should also be proactive in collaborating across multidisciplinary teams, reflecting the system’s comprehensive approach to oncology and patient-centered care.

Radiation Therapist II positions in Knoxville typically offer between $65,000 and $80,000 annually, slightly below the national median due to regional cost of living. However, Covenant Health’s comprehensive benefits and professional growth opportunities add significant value to the compensation package.

Absolutely. Covenant Health supports continuous education, certification bonuses, and leadership development, fostering a pathway for Radiation Therapist IIs to expand their clinical skills and assume advanced roles within a stable and respected healthcare network.

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