Sounds like you could very well get started in case management. While some hospital experience is helpful, it certainly is not mandatory. I have found that organizational skills and the ability to work with people rank high on what is required to be a case manager. Don't worry about the ADN. A number of the nurses I work with (including your truly) are AD RNs. Not a problem. Check with your local CMSA chapter or their web site at
www.cmsa.org . There are a lot of resources on what case management is and what the marketplace is looking for in prospective case managers. Good Luck!