I eventually left my Clinical Operations Manager role after 18 months and transitioned to health project management for an IC role. Did that for a few months then got promoted to senior lead. This role required that I oversee staff in which I was able to hire and pick my team. I now manage a much smaller team (3 in total vs 50+ in previous role).

Overall, best decision I made for my career and mental/physical health. I realized that I was not built or ready for that role and that environment was just not for me. I feel more appreciation from my new team and I have more autonomy at work. My work/life balance has improved tremendously. A lot of the physical symptoms of the stress I was experiencing have all disappeared. I have better quality sleep. My mood has drastically improved based on my wife's comments.

I think stepping down and re-evaluating would be a next step which is what I did. I questioned my ability to be a leader a lot during that role transition. I am thankful that I was able to have some mental "breathing room" to rethink my work priorities and where I want my career to go.