Ms. Fleckenstein leads Monroe County Hospital, a 25-bed critical access hospital in rural Georgia, boasting more than 20 years with the organization. She first joined the hospital as a high school student completing clinical rotations. Ms. Fleckenstein has since held roles spanning bedside nursing, emergency management, case management and CNO before ascending to CEO, giving her a ground-up understanding of the hospital’s clinical and operational needs. Under her leadership, the hospital completed a soft reopening of its operating room in 2025 to take on cardiac procedures ahead of planned renovations and a full reopening in 2026, significantly grew its swing bed program in 2024, and expanded specialty care offerings in its medical office suites to keep services local for a rapidly growing community. In 2025, Monroe County Hospital completed participation requirements in the Kids Alliance for Better Care, a collaborative with Mercer University School of Medicine and Children’s Healthcare of Atlanta that equips rural hospitals to better care for pediatric patients. The hospital was named “Hospital of the Year” by Hometown Health. Ms. Fleckenstein serves on the boards of the Forsyth-Monroe Chamber of Commerce and the Monroe County College and Career Academy.
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Becker's Recognition
Casey Fleckensteinhas been named a Becker's honoree on the lists below.
2026 Winner

2026 Winner

Executives
236 Women Hospital and Health System Presidents and CEOs to Know
CEO
2026 Winner

Executives
146 Rural Hospital and Health System Presidents and CEOs to Know
CEORural & Critical Access
