Sailor - I got this job over 16 years ago and things were different then. The position I have is actually a software engineering position in R&D. It is not a nursing position and not an official nursing informatics position. However, I do a lot of nursing informatics like activities. In addition to a lot of programming, I write specifications, do software designs/architecture, design schemas/data models, design UI, project lead, support customer sites, and meet with customers. Minimal traveling. I have a MS in nursing and MS in computer science. But of course, for a engineering position, the MSCS is what really mattered. A BS would also suffice for such positions. We have some with a BS as well here. To get a technical position, the approach needs to be a little different. Unfortunately, technical jobs are competitive right now and there are many engineers without jobs right now. But with your nursing background as well, it would give you an edge. On-line applications for employment did not exist 16 years ago. I went the journal route right after I got the MSCS degree. Most of the health care informatics journals provide a vendor publication once a year that lists all the vendors in this field. I was interested in a particular area and I just found all of the vendors that were listed in that area. I checked them out as much as I could. Fortunately, there are web pages now. Then I sent them a resume. I got quite a few calls as a result. A nurse with a technical degree and willing to do programming is rare. Also, I looked in the newspaper for that area and actually found an add for the job I now hold. Also, most engineers also go through headhunters who focus on software engineering. Not the head hunters for nursing informatics, but the ones for engineering. You can ask some of the technical people you know for names. Nothing was more annoying than having them assume I couldn't do and didn't want to do programming because I was a nurse. The vendor got back to me in a couple of weeks. However, that was by std mail. I hear it takes longer to respond these days. HIMSS is a good conference to go to. It is upper management, but a lot of vendors go. They won't have jobs, but you can get to know them. If you join HIMSS, there is often a local group. Another place to check is the larger hospitals in the area. Sometimes, they are looking for programmers to work on their home-grown information systems. What you need to decide is which side of the fence you want to go on. The technical or the nursing. There is few jobs that require both. There are positions that will take either, such as system analyst in the hospital who does no programming. So it is more of determining which is your greater interest and your greater strength. Good luck.