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Vital Hire
San Francisco, California

Radiation Therapist - San Francisco, CA

Radiation TherapistFull-Time

Listed compensation

$162k-$223k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 8m ago · Verified live

Job Description

Full-time | Permanent / Direct Hire | $162,000 – $223,000 per year

Deliver precise, compassionate cancer treatment with a highly skilled radiation oncology team in San Francisco. An academic medical center is hiring a full-time Radiation Therapist (RTT) to carry out radiotherapy and related procedures across a multi-campus department. A sign-on bonus is available for new hires, and relocation assistance may be available for the ideal candidate.

What You'll Do

  • Deliver radiotherapy and hyperthermia treatments at the technical level, under physician direction
  • Set up each patient and carry the prescribed course of treatment through accurately
  • Document treatments and work with the care team to keep the department running efficiently
  • Support simulation, IORT, HDR brachytherapy, radioactive implant and hyperthermia procedures
  • Work at other campuses in the department as assigned

What You Bring

  • Graduation from an accredited radiation therapy program
  • ARRT certification in Radiation Therapy (Therapeutic Radiology)
  • California Radiation Therapy (Therapeutic Radiology) license
  • Experience with megavoltage, supervoltage and orthovoltage equipment
  • Knowledge of simulation, IORT, brachytherapy/HDR and hyperthermia procedures
  • Sound independent judgment on setup and treatment decisions, plus excellent communication skills

Ideal Candidate

You're a strong team player and problem-solver who adapts quickly, works independently when it counts, and keeps patients and families at the center of every treatment.

Why You'll Love It Here

  • Sign-on bonus available for new hires
  • Full benefits package
  • Exposure to advanced technology and specialized procedures at an academic cancer center
  • Relocation assistance possible for the right candidate

Key Responsibilities

The Radiation Therapist will deliver precise radiotherapy and hyperthermia treatments under physician direction while ensuring accurate patient setup and documentation. They will also collaborate with the care team to support specialized procedures like IORT and HDR brachytherapy across multiple campus locations.

Requirements

Candidates must have graduated from an accredited radiation therapy program and hold both ARRT certification and a California Radiation Therapy license. Proficiency with various voltage equipment and experience in simulation and brachytherapy procedures are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Treatment documentationMegavoltage equipmentSupervoltage equipmentTeamwork

Radiation Therapy Career Context

In California, the Radiation Therapy weighted monthly median benchmark on WeekdayDoc is ~$152k (59 salary observations; 137 listings), vs ~$115k nationally (243 salary observations; 1,234 listings). Monthly aggregates cover 2026-03-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

Of the 40 active Radiation Therapy listings this role was benchmarked against, 38% have no call, 80% require no weekends.

Radiation Therapy by the numbers
MeasureThis jobMarket
Listed pay$162k–$223kRadiation Therapy median $156k (middle half $140k–$161k)114 comparable listings, Nov 2026
California vs national$152k median in California$115k nationally (+33%)59 state / 243 national salary observations
Cost-of-living adjusted pay~$174k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Radiation Therapy listings in California59 active586 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% no call · 80% no weekends40 benchmarked listings
Sign-on & loan repaymentsign-on bonusUS healthcare professional listings (all specialties): 24% state a sign-on bonus (median $15k) · 4% offer loan repayment673 active listings, Nov 2026
New Radiation Therapy listings168 in the last 30 days154 the 30 days before (+9%)U.S., first seen on WeekdayDoc, Nov 2026
Radiation Therapy pay trend−8.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Radiation Therapist Jobs

18 matches · ranked by pay

Salary Distribution

17 jobs
4
<$110k
1
$114k
6
$115k-125k
2
$125k-140k
4
$140k+

Annual compensation range

Benefits & Perks

12 jobs
401k / retirement match
75%
Sign-on bonus
50% this job
Relocation assistance
17% this job

Share of similar jobs offering each benefit

#1

Radiation Therapist Lead

Sutter Health · Santa Cruz, California

$86.08-$120.5/hr
#2

Radiation Therapist - Radiology Oncology

Providence · Santa Rosa, California

$58.07-$90.14/hr
#3

Radiation Therapist

$53.27-$79.91/hr
#4

RADIATION THERAPIST

$46.7624-$68.4328/hr
+ 16 more · ranked by pay

Work-life snapshot

median 5.1this job 1.5
Below most Radiation Therapy listings for work-life

Listing-based score, 0–10, across 579 comparable listings. Shaded area = the share scoring below this one.

Vital Hire logo

About Vital Hire

Staffing and Recruiting
Newport Beach, California
11-50 employees

Benefits & Perks

Sign-on bonus available for new hires
Full benefits package
Relocation assistance possible
Exposure to advanced technology and specialized procedures

Living in San Francisco

Typical 3-bedroom home value
$1.77M≈ 10.9× annual pay
Typical market rent
$4,784/mo≈ 35% of gross pay
Residents’ average commute
30 min
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.