I've been a home health/hospice nurse for about 18 years. I'm an ADN nurse. You don't need your BSN to get into the field, and there is a higher demand than you might think. Many home health RNs (including hospice) have their ADNs only, and they successfully transition into supervisory/management positions. In that field, on-the-job training matters a lot, as there is only one way to find out if you've got the skills set, and that's to do it. After 1-2 years in the field, you can start looking at supervisory/management options, and begin to position yourself for one of them. Home health and hospice, however, are more intense than the hospital or clinic nursing experience; you are your own manager, you do determine the plan of care for yourself and the entire team, you must be proficient and current on medicare/insurance guidelines, you must be proficient with documentation, you must be familiar with the healthcare systems in your area, you puts lots of wear and tear on your car, you are alone, so you must be a very independent/take charge personality, and the days can be very long. I estimate I put in an average of 60 hours a week. Generally, you are assigned a group of patients, and you are responsible for their care 24/7; most agencies have night and weekend staffing, but not all. In addition, you may be required to pull call duty some nights and rotating weekends. It looks like "nursing lite" on the outside, but it's anything but. If you want to get away from bedside nursing, I wouldn't recommend home health/hospice. But if you're willing to put in the intensive time in home health nursing, then transition to supervisory/management, go for it! I'd recommend talking to someone in your area who has been there, done that. Hope this helps, and good luck to you!