Maybe a hospital is your dream job, and if so, you should try to get a job there. But are you really "stuck" in home health? If the hospital is not a big dream for you, home health has a few avenues that you can explore, and you're already in the game. You can do regular visits, start visits, UAS, home infusion, home dialysis, care management and team supervision. There are probably even a few positions that I am forgetting. If you hate home health, then okay, walk away. But if you kinda like it and are looking to show your potential, you may already be in the specialty that can do that for you.