I do both. I was a massage therapist 1st then I went to nursing school! I LOVE what I do. I make really good money as a postpartum nurse and in my off times charge 75$ for an hour and 90$ for and hour and a half. Plus since I work for myself I keep everything I make. Which is the only way I suggest to do it. If you work for one of these companies like massage envy, you make no money! Go for it and you might want to leave case management alone! If your bored at your job and your a nurse, something is really wrong