I only recently left my clinic nursing position to take a position in QI, and as mentioned in another response, I have felt a little sad....it isn't an obvious difference you are making in QI, and I sense resentment from some nurses. That being said, I love what I do. It is interesting and challenging and it keeps me on my toes. I work for an external UR company, and we audit insurance claims, working very closely with our medical director. Do I miss hands on nursing? Once in a while. But not often. The office is fast paced but in a much different way than the clinic. And no more chasing non-compliant patients down.....don't miss tha!!!!!!!!