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Nurse Risk Manager Jobs in Springfield, OH (NOW HIRING)

Healthcare Support Staffing

Field RN Case Manager

Dayton, OH · On-site

$75.30K - $92.30K/yr

Job Title: Field Registered Nurse Case Manager Client: Centene - Buckeye Employment: Long Term ... Identify related risk management quality concerns and report these scenarios to the appropriate ...

Healthcare Support Staffing

Field RN Case Manager

Dayton, OH · On-site

$75.30K - $92.30K/yr

Job Title: Field Registered Nurse Case Manager Client: Centene - Buckeye Employment: Long Term ... Identify related risk management quality concerns and report these scenarios to the appropriate ...

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Nurse Risk Manager information

See Springfield, OH salary details

$46.4K

$100.5K

$153.1K

How much do nurse risk manager jobs pay per year?

As of May 30, 2026, the average yearly pay for nurse risk manager in Springfield, OH is $100,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $81,100.00 and $116,200.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Nurse Risk Manager jobs in Springfield, OH? For Nurse Risk Manager jobs in Springfield, OH, the most frequently searched job titles are:
What job categories do people searching Nurse Risk Manager jobs in Springfield, OH look for? The top searched job categories for Nurse Risk Manager jobs in Springfield, OH are:
What cities near Springfield, OH are hiring for Nurse Risk Manager jobs? Cities near Springfield, OH with the most Nurse Risk Manager job openings:
Nurse Risk Manager jobs near you
Infographic showing various Nurse Risk Manager job openings in Springfield, OH as of May 2026, with employment types broken down into 4% As Needed, 70% Full Time, 22% Part Time, and 4% Contract. Highlights an 100% In-person job distribution, with an average salary of $100,483 per year, or $48.3 per hour.
Risk Adjustment Coder - Risk Management

Risk Adjustment Coder - Risk Management

Kettering Health

Kettering, OH

Full-time

Posted 8 hours ago

Kettering Health rating

7.3

Company rating: 7.3 out of 10

Based on 181 frontline employees who took The Breakroom Quiz

289th of 864 rated healthcare providers

Job description

Physician Office | Kettering | Full-Time | First Shift


Responsibilities & Requirements

This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. 

KPN Pro Fee Coding Specialist

Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.

  • Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
  • Reviewing the ambulatory records for the appropriate risk adjustment components
  • Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes
  • Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
  • Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
  • Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
  • Corresponds with providers on pending claims to facilitate resolution
  • Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
  • Communicate appropriately with providers, leaders, and staff
  • Researches and resolves concerns timely

The Risk Adjustment Coder is responsible for coding and abstracting all outpatient patient records using ICD-10-CM and CPT/HCPCS coding rules, federal guideline and KMCN guidelines. Additionally, the Risk Adjustment Coder supports hospital’s accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision-making process. Supports clinical outcomes measurement and assessment process for service lines. Completes assigned duties and other related tasks. The list is not inclusive, Performs other duties as assigned.

 The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records.  The Risk Adjustment Coder will contribute to overarching educational efforts of the MSO regarding Risk Adjustment.  The Risk Adjustment Coder will offer summarized content, feedback from providers, key barriers or success efforts to executive leaders to assist in the overall risk adjustment of the population. 

The Risk Adjustment Coder will spend some in-person time with providers to foster a relationship and encourage dialogue with risk adjustment to improve overall outcomes. The Risk Adjustment Coder will develop a collegial relationship with the Clinical Documentation Specialist RN (CDS) to partner on the overarching risk adjustment of the population.

Educational Requirements:

High School Diploma or equivalent

RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification

Prior experience in professional fee coding/billing

CRC required within 1 year of hire


Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

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