I am a RN (BSN) with 10+yrs experience-med/surg, LTC, and HH. A few years ago, during a break from HH, I went to my first LTC job. I stayed about 9 months, then went to my current job as a home health case manager (no direct patient care, paperwork only), due to issues everyone else mentions with LTC--understaffing, crazy policies, unreal paperwork, and overtime issues. I've been with this job for 2 years, M-F, 8-5, occasional weekend work.....but doesn't pay overtime (we are considered salary if overtime is worked, but miss 1 minute of work and you are hourly, pay is docked!). My pay is high for my area, I get good mileage, but average 120ish mi/day on my car...It is most nurses dream job, BUT I am getting to the point I can't stand it....no advancement potential in the forseeable future. I am applying for DON and ADON (preferable) positions close to my home (I drive 25mi/day to my office before I drive all over 4 counties doing paperwork). I am gaining tons of weight sitting behind a desk everyday, or driving. Also, got a new car mid-December, already has 5500 miles on it, only used for work, no other driving (old clunker for that). Does everyone think I'm nuts? Thoughts please!