[CigarNut]

All good advice! I would add that you should not say anything about the Mayo Clinic job to nursing home and vice versa.

After the interview at the nursing home do not give them an answer right away. If they ask you for an immediate answer tell them that you need a few days to make a decision. This is not unreasonable.

After the interview at Mayo ask them how long it will take to make a decision. Ask them if they are realistically considering you. If you are under consideration and the wait is too long then you have to gamble -- take the "bird in the hand" -- nursing home job -- or gamble on the Mayo job coming through.

In this economy you might not get a second chance... If you have the wherewithal to go without work and you really want the Mayo job then you can go ahead contact the nursing home and turn them down -- but again, not until after the interview at Mayo.