In interviews, I got mixed results with trying to sugar coat (focusing on the position I left the CNM position for) and actually giving the answer I have below (worded for a professional work environment). CNM positions seemed to view both sugar coating and my honest answer as marks against me. My CNM/the person that interviewed me for my current job expressed sympathy for my honest answer. I'm in a clinical position now, but I want to get back into clinical management.

Essentially, the work environment went for cordial to toxic AF. I was promoted to a CNM position at the hospital I was working at, but at the same time hospital leadership completely changed. There were announcements of people's firings via email on a weekly basis from the new president/CEO, the new president/CEO of the hospital threatened to fire anyone who presents with RBF (I have severe RBF), and unrealistic productivity expectations were put on dietitians by the new president/CEO (a "workaholic" who spent long hours at the hospital). I had to start therapy and medication for PTSD and depression because of the new work environment and I had to bail short of 1 year as CNM.

Related, but not something I discussed in interviews: a few years after I left, that president/CEO of the hospital made national headlines for multi-million dollar embezzlement from the hospital and COVID-related fraud.