Executive Team
R.T.(R)(ARRT)Chief Operating Officer
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Casey Fleckenstein has served in many positions at Monroe County Hospital prior to her current role as CEO. She started her career at Monroe County Hospital in 2001 as a staff nurse on both Medical Surgical Unit and Emergency Department as well as a Post Anesthesia Care Unit nurse. Casey has also served as Medical Surgical Manager, Emergency Room Manager, Case Management/Swing Bed Coordinator and Emergency Management Coordinator. This vast experience has given her much insight to the many departments within the hospital where patient care is so important.
Casey’s nursing career has been dedicated to creating high quality, reliable systems of care and developing the health care professionals to lead in these ever-changing times. She is a Certified Lean Six Sigma Green Belt and has used those strategies to help lead the organization to increase service excellence, patient throughput, patient safety, and successful accreditation surveys.
Casey received her Bachelor’s Degree of Science in Nursing Degree from Western Governor’s University, and she is also and alumni of Gordon State College where she got her Associates of Nursing. Casey is a 2019 Leadership Monroe graduate and very involved in the community. Casey and her three children live in the county where they love to work and play…Monroe County.

Megan Randall currently serves as the Chief Nursing Officer at Monroe County Hospital. After graduating with her Bachelor’s Degree in Radiologic Sciences, she returned to her hometown where she has worked at Monroe County Hospital since 2004. During most of her tenure at the hospital, she served as the Radiology Manager in addition to Emergency Management Coordinator.
Megan is a graduate of the Leadership Monroe class of 2012 as well as the 2019 HomeTown Health Leadership class. In 2014, she completed her Lean Six Sigma Green Belt certification. Megan also served on the CEO Advisory Council with Atrium Health Navicent. Throughout her career, Megan has represented the healthcare profession by serving on multiple advisory boards.
Being a life-long resident of Forsyth, she is thankful to have the opportunity to help provide quality medical services in a smaller, more personal setting for her hometown and community.