Apparatus, systems, methods, and computer program products for managing refresh operations in memory devices are disclosed. An apparatus includes a memory device including a plurality of memory cells comprising an associated set of counters and a controller for the memory device. A controller is configured to randomly increment a counter associated with a memory cell in response to write disturbances for the memory cell. A controller is configured, in response to a counter being randomly incremented to a predetermined count, perform a refresh operation on a memory cell.