Thanks for all the input. Everyone had some great ideas and perspectives. I chose the house supervisor position due to the responsibilities of the position and the professional character of upper management and executives. I have been at the new location for three weeks and I have enjoyed each day. I do have an effect on policy. Every new policy or change is reviewed by all levels of administration. I am also involved with hiring new employees, firing, and quality measures within the hospital. The facility is small so maybe that's why there are more responsibilities. I don't mind cause I'm a team player and it's a opportunity for me to learn more. After holding this position for a couple years where should be my next step......Nurse Manager or Director?