I would give the "2 different perspectives" on this post, but since one of the perspectives was already stated a couple times, I'll just offer a job possibility. I don't know what the requirements might be or how ideal the job is, but based on what you say your looking for and what you've done, what about a Medical Claims Examiner. Might bring your paralegal experience and medical office experience into play, while still being something new and more enjoyable than your past jobs. And, maybe you already have the resume for it