Choices

I may have a career choice coming in my near future, and I am really struggling on which to choose.

I have my current job; telephonic case management, working from home. I got this job after leaving a job I had as a program manager for a Medicare Advantage Health Plan. The management position turned into a nightmare because I was good, and they kept pilling on work and responsibility, but did not hire more help. I don't mind having work, but I am a realist, and it wasn't realistic how much they expected me to do. This job I have now is very low stress. I work from home, in my sweats, no makeup, no commute. I feel healthier because I can wake up and exercise, since I have no commute, and never eat out. I can be late, take breaks whenever, and work is very independent, no one standing over me watching me work. Plus, I get to help people, which is rewarding. But this job has no opportunity for advancement and can be a bit boring sometimes (but sometimes boring is good!). And it is also on contract, which could expire in 3 months (we will know by next month), in a year, in five years, we really don't know.

The job opportunity that may be coming my way is Manager of ICU in a small hospital. This ICU ships out the most complicated people, and sometimes shuts down because there are no patients. 5 or 7 beds, I don't remember. Note; I have not done bedside nursing in 4+ years, and I would have to cover the floor as needed. The appealing aspect of this job is it's an opportunity to get back into Quality Improvement type stuff (I think, you can tell me if you know more), and share my 10+ years of knowledge and experience, plus make a bunch more money, eventually 6 figures, and have all my financial dreams come true. Build my dream home, for example. All our debt is paid except student loans, and so we would be swimming in money, for the first time in my adult life. I mean, we want to live debt free forever, and we could definitely do this comfortably with this job, buy new cars, take vacations, etc. Cons of this job are, I have to be at work at a specific time, get dressed, drive to work(altho it is a short drive), work under fluorescents, and deal with possible hospital politics, difficult people and patients, and everything else that goes with working in a hospital. Those may sound minor, but there is also the stress that goes along with the responsibilities of being a manager. And I wouldn't get to pet my dog during my breaks

What would you do? Take the financially secure job with potential of a very stressful life, or keep the lower paying job, that you make enough to live very comfortable still, where you work at home and have very little stress?