Hi Smilingeyes, I "got in" 25 years ago by taking over a job that a friend of mine was leaving. Very different now! I agree with NCRN on many points, especially : There are many, many different types of insurance jobs for nurses. NCRN I believe is describing a fully telephonic position - perhaps in disease management? I have held positions as a telephonic nurse case manager and a field nurse case manager for Worker's Compensation claims, a Nurse Life Care Planner (CNLCP), and also worked short-term and long-term disability claims. NCRN is correct- working from home for an insurance company may sound like a dream ... and, depending upon the company, the position,and your manager it can be wonderful or completely awful. You might try making a list of the companies that hire work-from-home case managers - look at companies of all sizes from Aenta and UnitedHealth types to Genex to Triune Health Group. Go to the company website and look at the job descriptions. Check the requirements. Apply, apply, apply. Match the terms on your resume to the terms used in the job posting . I would not go back to working on-call, weekends, nights, holidays, etc. unless I was starving, however, this type of work has it';s own challenges. Best of luck to you!