Performs appropriate quality control warm-up procedures on equipment. Troubleshoots, resolves, and reports equipment malfunctions to chain of command. Maintains and completes monthly department data logs.Collaborates with Physicians, Physicists, Dosimetrist, Chief Radiation Therapist in simulation or clinical setup process. Presents set up questions and solutions while utilizing Crew Resource Management Principles and Practices. Observes all established radiation safety measures (ALARA).Manages patient documentation in Aria for team communication, charge capture and billing reconciliation. Prepares the treatment record information for setup and treatment. Accurately performs weekly chart checks and QA audits at end of treatment through Encounters in Aria EMR. Accurately captures and reviews charges for treatment and simulation procedures.Reviews physician’s orders and radiation therapy treatment plan. Educates patient regarding procedures to ensure patient’s understanding. Assists patient and family with any problems or concerns and refers to proper resource personnel. Identifies and reports potential liabilities and risks management to Chief Therapist.Prepares room and equipment properly for each treatment. Performs imaging (CBCT, KV, MV, respiratory gating) as ordered, to position patient. Analyzes results, identifies issues and takes appropriate action including repositioning patient and repeating procedure to deliver therapy according to treatment plan. Performs special procedure treatments (HDR, TBI, SRS, SBRT) and completes treatment documentation. Stocks and stores appropriate supplies in technical areas. Informs Chief Therapists when supplies are needed.Participates in scheduled rotations in all department equipment, serves as emergency on call therapist, and as needed, rotates between both Radiation Oncology departments. Maintains flexibility and assumes all other additional responsibilities as assigned.May act as a Preceptor to Radiation Therapist level 1. Is a main resource to radiation therapy students and/or new hires by role modeling professional behaviors instructing, assessing and evaluating. Performs and acts as resource to staff assisting with complicated high risk, low frequency procedure/ treatments.Performs CT-Sim procedures and documents accurately. Executes simulations in accordance with department policies and procedures. Prepares room and equipment properly for each simulation and monitors patient. Performs complex special procedures (4D CT Respiratory Gating, HDR, TBI, SRS, SBRT, Oral and IV Contrast, Urethrogram) and monitors patient for adverse reactions and quickly seeks assistance of a nurse or physician, when appropriate.Manages patient scheduling in a technical area including simulations, field verifications, daily treatments, and cone-downs to avoid delays or interruptions.May act as a Charge Radiation Therapist to convey instructions of Radiation Oncologists, physicist and/or dosimetrist to appropriate personnel and ensures the instructions are carried out. Interacts directly with medical physics staff and acts as a liaison between other healthcare professionals. Identifies and immediately reports equipment malfunction to Chief Therapist.