OK, need some other opinions. I took a new job with a better title and a little more money, went from non-profit to for-profit, from hospital to private practice, and it was closer to my hometown. The problem is that me and boss are not on the same page. My title is Director of Operations and my previous title was Director but of a specific clinical department. The interview went well and it was said the biggest issues to fix were moral and physician / patient process problems, which is what I do well. It was also stated that this was not a desk job and there would late hours. I spent then first month observing every job that is within the clinical area, which was my boss's choice. I have 6 direct reports that have about 120 directs. I have been there almost 3 months but 2 month into the job she tells me that I am not meeting expectations and that managers never leave before 5pm, I need to take work off my 6 directs, and MD's need to see me out in the clinical area more. I was surprised but thanked her for the feedback and created an action plan on what I was going to do to correct it. I stuck to the plan and things seemed to improve for couple of weeks. During that time, she came back to me and made a comment about me being the first out the door at 5pm. I asked what time she wanted me there until because at least 2 days a week I am there until 5:30 and did she want me to do that each day. She said that I did not have to stay to 5:30 each day but did not clarify beyond. Later I made a small accounting mistake, and we almost paid a $150 (we do 130K in charges a day) bill that we should not have. She pulled me and the controller into her office and talked to me about the mistake and it was clear that I was confused but she made it seem as if I were being less than truthful to someone in the accounting dept because I miscounted the number of invoices and told them I only received 4 instead of 5. Last week, she told me again that I was not meeting expectations and that I need to focus on fixing the MD's issues and the staff feels that I am purely administrative and don't see me and they also feel that I need to take more work off of my directs. I was shocked as my directs were telling me that things were lots better and the MD's were not saying anything but good to me. I will take some of the blame after listening to the "I hate my new job" podcast, and maybe thought this job would be similar to my last and was wrong. While meeting with her, I made the comment that maybe it would be of benefit it I actually did the entry level staffs job so that I understood how so that I could jump in if needed and to fully understand, She said that is what I should have been doing during the first month. No one told me that as I thought I was only observing them, not that I needed to do the work. I am really confused, so I need to do my directs work, do the staff's work, and my work. Seems like every week she has something else that is not going well. I look forward to your thoughts and if it is me then let me know that it is me please, thanks.