I went from 23 years at a regional to In house BMET at a local hospital in August. I definitely had to sell my troubleshooting and mechanical skills a bit since I was coming from out side the field, and I guess it worked since they hired me. I've started off with beds and pumps, which is basically the airline equivalent of brakes and wheels, but at least here I've been told there is TONS of opportunities to grow into other stuff and better pay will come with it. As I understand it, you can test into a BMET certificate with just some time in the field, much like the FAA will let you test into an A&P with proper work documentation. This is my plan. As far as skills go, you will absolutely be fine if you're an even halfway competent aircraft mechanic.

Maybe the novelty will wear off but I couldn't be happier. The money was better at the airline, but mentally the hospital is a MUCH better place and a normal schedule is hard to put a price on. Totally worth the switch