Can you dispute the OIG sanction? It took a lot of leg work, but I knew someone who disputed the OIG sanction and won. Granted, this was several years ago but it worked so it may be worth a try. If, however, you know you can't avoid an OIG sanction, then I suggest legal nursing. Someone else I knew went this route after he too ended up on the OIG sanction list for five years and he didn't take any legal nursing classes (total waste of money). He just started cold calling on small personal injury law firms until he finally landed a gig. Initially, he didn't make as much as he normally would have in a regular nursing job, but it sure beat unemployment or working at Walmart! The attorneys with whom he worked were very understanding and supportive. He made a lot of good professional connections and did some really cool things in that role that he never would've thought of. Fast forward five years when it came time for the sanction to be lifted and the attorneys loved him so much (he helped them win lots of cases!) they offered him an even higher salary than he could have ever make as a BSN prepared RN. What started off as a "port in the storm" turned out to be his best career move! When God closes a door, he always opens a window; Sometimes you just have to look around for the opening and be willing to squeeze through it! Good luck! My thoughts and prayers are with you!