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Nurse Risk Manager Jobs in Rhode Island (NOW HIRING)

thundermist

Nurse Care Manager

West Warwick, RI · On-site

Nurse Care ManagerAbout the Role Thundermist Health Center is seeking a compassionate and ... Manage a caseload of moderate to high-risk adult patients with complex chronic health conditions.

Astrana Health

Care Manager (RN)

Johnston, RI · On-site

$40 - $48/hr

Manages a panel/caseload of 75 - 100 chronic and high-risk patients in collaboration with Nurse Practitioner, Pharmacist, PCP, specialists and other ICT members. Meets assigned/expected patient ...

Brown University Health

Registered Nurse

Newport, RI

$35.70 - $71.40/hr

Participates in quality improvement processes and risk management activities. Attends unit-based ... Integrates complete physical assessment with nursing assessment, and records reviews in developing ...

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All JobsNurse Risk JobsNurse Risk Manager JobsNurse Risk Manager Jobs in Rhode Island

Nurse Risk Manager information

See Rhode Island salary details

$50.4K

$109.2K

$166.5K

How much do nurse risk manager jobs pay per year?

As of Jul 28, 2026, the average yearly pay for nurse risk manager in Rhode Island is $109,248.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,100.00 and $126,300.00 per year, depending on experience, location, and employer.

What is a Nurse Risk Manager?

A Nurse Risk Manager is a registered nurse who specializes in identifying, evaluating, and minimizing risks to patients and healthcare organizations. They work to improve patient safety, investigate adverse events, and ensure compliance with healthcare regulations. Nurse Risk Managers collaborate with clinical staff, administrators, and legal teams to develop policies and training that reduce liability and enhance care quality. Their goal is to create a safe environment for both patients and staff while protecting the organization from legal and financial risks.

What is the difference between Nurse Risk Manager vs Nurse Safety Coordinator?

AspectNurse Risk ManagerNurse Safety Coordinator
CertificationsRN license, risk management certificationsRN license, safety certifications
Work EnvironmentHospitals, healthcare facilities, risk departmentsHospitals, clinics, safety departments
Primary FocusRisk mitigation, legal compliance, incident investigationWorkplace safety, safety protocols, staff training

The Nurse Risk Manager and Nurse Safety Coordinator roles both focus on healthcare safety but differ in scope. The Nurse Risk Manager primarily handles risk mitigation and legal compliance, while the Nurse Safety Coordinator emphasizes workplace safety and staff training. Both roles require RN licensure and relevant certifications, often working within similar healthcare environments.

What are the key skills and qualifications needed to thrive as a Nurse Risk Manager, and why are they important?

To thrive as a Nurse Risk Manager, you need a solid clinical background, knowledge of healthcare regulations, and a bachelor's or master's degree in nursing—often with certification in risk management. Familiarity with incident reporting systems, root cause analysis tools, and regulatory compliance software is essential. Strong analytical skills, attention to detail, and effective communication are crucial soft skills for this role. These competencies help identify and mitigate risks, enhance patient safety, and ensure compliance with healthcare standards.

What are some common challenges faced by Nurse Risk Managers when balancing patient care and regulatory compliance?

Nurse Risk Managers often encounter the challenge of ensuring high-quality patient care while meticulously adhering to regulatory standards and hospital policies. They must stay up-to-date with evolving healthcare regulations and respond quickly to incidents or potential risks, which can require rapid decision-making and effective communication with clinical staff. Balancing these responsibilities, especially during high-stress situations or when implementing new protocols, demands strong organizational skills and the ability to educate and support fellow staff members without disrupting patient care.
What are popular job titles related to Nurse Risk Manager jobs in Rhode Island? For Nurse Risk Manager jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Nurse Risk Manager jobs in Rhode Island look for? The top searched job categories for Nurse Risk Manager jobs in Rhode Island are:
What cities in Rhode Island are hiring for Nurse Risk Manager jobs? Cities in Rhode Island with the most Nurse Risk Manager job openings:
Nurse Risk Manager jobs near you
Infographic showing various Nurse Risk Manager job openings in Rhode Island as of July 2026, with employment types broken down into 80% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $109,248 per year, or $52.5 per hour.
Senior Manager, Corporate Compliance - Risk Adjustment

Senior Manager, Corporate Compliance - Risk Adjustment

CVS Health

Woonsocket, RI

$75K - $165K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,319 frontline employees who took The Breakroom Quiz

88th of 109 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.

The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.

Key Responsibilities

  • Lead the Medicare Advantage Risk Adjustment compliance program.

  • Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.

  • Assess operational processes for compliance risks related to risk adjustment activities.

  • Develop and implement corrective action plans for identified compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.


Required Qualifications

  • Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance

  • Minimum 5 years in a leadership role

  • One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)

  • Willingness to travel up to 10% (including by plane)


Preferred Qualifications

  • Health Information Management (RHIA/RHIT)

  • Nursing - Strong understanding of clinical documentation and medical record review

  • Certified Risk Adjustment Coder (CRC) with compliance experience

  • Provider coding audit/compliance leadership experience

  • Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits


Education

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/12/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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