Radiation Therapist Jobs in North Carolina
Radiation Therapist jobs in North Carolina draw consistent demand across hospital-based oncology programs, academic medical centers, and freestanding cancer treatment facilities, with openings at every level from new graduates completing their clinical hours through senior therapists in lead or supervisory roles. Charlotte, Raleigh-Durham, and Greensboro anchor most of the hiring, and well-established employers like Duke Health, Atrium Health, and UNC Health maintain ongoing radiation oncology programs across the state. Stereotactic radiosurgery, image-guided radiation therapy, and pediatric oncology are among the specialties seeing the steadiest interest from North Carolina employers. Find a role that fits below and apply directly.
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What You'll Need:
- Graduate of an AMA approved school of Therapeutic Radiology or international equivalent. ARRT registered or registry eligible, must pass registry in the first 90 days of employment.
- BLS required per policy guidelines.
What You'll Do:
- Treats patients with ionizing radiation in adherence to all regulatory guidelines.
- Monitors all equipment parameters, documents equipment malfunctions and understands all emergency and safety procedures of all equipment.
- Maintains accurate medical records and treatment schedules.
- Recognizes and reports patient concerns and physical problems to appropriate personnel.
- Documents treatments and other associated details in the radiation oncology EMR.
- Communicates instructions and procedures to patients and their families.
- Assists with the clinical instruction of Radiation Therapy Students.
- Demonstrates the ability to rapidly grasp procedures and processes that may have slight variation from site to site.
See All 47 Radiation Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Radiation Therapist JobsRadiation Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Radiation Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Novant Health11

- Atrium Health7

- Advocate Aurora Health7

- UNC Health3

- Cone Health3

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in radiation therapist jobs across North Carolina.
- Active North Carolina radiation therapy license issued by the North Carolina Medical Board
- ARRT certification in Radiation Therapy required or must be registry-eligible
- Completion of an accredited radiation therapy program recognized in North Carolina
- Proficiency operating linear accelerators and treatment planning systems such as Varian or Elekta
- Experience with electronic medical records and oncology information systems like ARIA or Mosaiq
- Strong patient communication skills and ability to work within a multidisciplinary oncology team
Radiation Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a radiation therapist in North Carolina?
To become a radiation therapist in North Carolina, you must obtain a license through the North Carolina Medical Board, which requires graduating from a JRCERT-accredited radiation therapy program and passing the American Registry of Radiologic Technologists certification exam in Radiation Therapy. Applications are submitted directly to the North Carolina Medical Board. Most North Carolina employers require or strongly prefer candidates who are already ARRT-certified before starting in a clinical role.
How much do radiation therapists make in North Carolina?
Radiation therapists in North Carolina earn a median of about $99,250 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $79,780 for the lowest 10% to over $109,210 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire radiation therapists in North Carolina?
Employers hiring radiation therapists in North Carolina right now include Novant Health, Atrium Health, and Advocate Aurora Health, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and NCI-designated cancer programs tend to post the most consistently, particularly in metropolitan areas where radiation oncology volumes are highest.
Which North Carolina cities have the most radiation therapist jobs?
Charlotte, Winston-Salem, and Huntersville have the most radiation therapist openings in North Carolina. Charlotte and Raleigh-Durham lead because they are home to major health systems like Atrium Health and Duke Health with large oncology departments, while cities like Greensboro and Winston-Salem also generate steady openings through anchor institutions such as Cone Health and Atrium Health Wake Forest Baptist.
Are there remote radiation therapist jobs in North Carolina?
Yes, but they are rare. Radiation therapy is a hands-on clinical role requiring direct patient contact and operation of specialized imaging and treatment equipment, so the overwhelming majority of positions are fully on-site. About 0% of radiation therapist openings tied to North Carolina are remote or hybrid as of August 2026, and those roles are typically limited to dosimetry review, treatment planning support, or administrative oncology functions rather than direct patient treatment.
How can I get hired as a radiation therapist in North Carolina with little or no experience?
The most realistic entry path is applying to new-graduate or registry-eligible positions at large North Carolina health systems, which regularly hire candidates who have completed their clinical rotations but have not yet accumulated independent work history. Duke Health, Atrium Health, and UNC Health all onboard new graduates and provide structured orientation to linear accelerator operation and treatment planning workflows. Candidates who are ARRT registry-eligible at the time of application and who completed clinicals at an accredited North Carolina program have a clear advantage over out-of-state applicants unfamiliar with the state's oncology environment.
Where can I find and apply to radiation therapist jobs in North Carolina?
You can find and apply to radiation therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings to find roles that match your credentials and experience level, then apply directly to the ones that fit.
See All 47 Radiation Therapist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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