Francesca “Jewels” Montgomery
The Unbreakable Woman’s Journey
If you were promoted into clinic leadership without formal training and now feel the weight of responsibility more than you expected — this podcast is for you. I’m Jewels, a longtime clinic manager who stepped into leadership without a roadmap and learned how to build resilient, cohesive teams in healthcare under real pressure. Each week, we talk about what no one prepares new clinic managers for — team tension, workflow chaos, compliance stress, difficult conversations, and how to lead with confidence, clarity, and calm. This is grounded mentorship in your ear.
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Autor
Francesca “Jewels” Montgomery
Categoría
Web del podcast
Último episodio
12 de oct. de 2026
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Episodios
Everything Feels Urgent. Where Do I Start? 12.10.2026 15:22
You're a new clinic manager, and everybody needs something from you. Your own work is piling up, and you can't figure out what deserves your attention first. Sound familiar? In this episode of The Accidental Clinic Manager , Jewels shares a practical way to sort through competing demands, make decisions with greater confidence, and stop taking ownership of every problem that comes through...
Why Does My Staff Bring Every Problem to Me? 05.10.2026 13:18
If every little problem in your clinic somehow ends up on your desk, this episode is for you. In this season finale of Unbreakable Woman, I share what happened when my team caught a staffing problem before I even realized it existed — and why that moment changed the way I think about stepping in. If you became the clinic manager because you were the capable one, it’s easy to become the person who...
How Do I Fix Inefficient Workflows in My Medical Clinic? 28.09.2026 12:16
A patient walked into our clinic with a $5 statement. That tiny balance sent me down a much bigger leadership rabbit hole. Why were we still doing it this way? And more importantly, was the problem really the employee following the process — or the process itself? In this episode of Unbreakable Woman, I share what that moment taught me about outdated clinic procedures, leadership responsibility, a...
How to Say the Hard Thing Without Making It Messier 21.09.2026 13:23
Hard conversations rarely get easier when we dump everything into them at once — the facts, the frustration, the history, the assumptions, and everything we wish the other person understood. In this episode of Unbreakable Woman, Jewels shares a simple way to bring more clarity to difficult conversations without becoming cold, vague, or overly emotional. You’ll learn the 3-Bucket Framework: Facts —...
Responsibility Is Not Involvement 15.09.2026 7:34
Being responsible for everything in your clinic does not mean you need to be involved in everything that happens there. In this episode, Jewels shares a real leadership lesson from the clinic floor: when escalation turns into surrendering ownership, managers become the default destination for problems that never needed to become theirs. You’ll hear how one leaking ceiling exposed the difference be...
Before You Fix It, Find Out What Actually Happened 07.09.2026 9:40
“The patient is furious.” “Billing refuses to help us.” “Everybody is upset.” After 28 years of clinic management, I’ve learned that by the time a difficult conversation reaches the manager, you’re rarely hearing a recording. You’re hearing a version. And when you’re new to management, it’s easy to take that version and immediately go to work fixing it. In this episode of Unbreakable Woman, I’m s...
Everything Feels Important 31.08.2026 9:50
When every request feels urgent, your attention gets pulled in every direction. In this episode of Unbreakable Woman, Jewels shares a deeply personal moment from the clinic that exposed a hard truth: the things demanding your attention are not always the things that deserve it most. If you’re a new or accidental clinic manager who feels like your whole day belongs to whoever gets to you first, thi...
Why Does Every Problem Still End Up on Your Desk? 24.08.2026 13:05
If every question, decision, and problem still finds its way back to you, this episode is for you. In the Season 4 finale, I share the moment one of our PAs solved a problem without bringing it to me first — and why that win came with a little grief. We talk about what happens when your team begins to think for themselves, use judgment, and stop needing you in the same way. You’ll also get a pract...
Still Carrying the Whole Team? Stop Being the Only One Who Notices 17.08.2026 12:42
Are you the one who notices everything? Who hasn’t eaten. Who’s overwhelmed. Who needs coverage. Who needs a break. Who is about to hit their limit. That may feel like good leadership — until you realize the entire team has learned to depend on you to notice first. In this episode, Jewels shares what happened when the culture inside her clinic began to change. Her team started stepping in for one...
They Had It Handled 10.08.2026 8:07
When the receptionist was out, Jewels always stepped in. Then her nurses began stopping her. “No. We got this. Go back to your desk.” What seemed like a simple staffing moment became a deeper lesson about team maturity, trust, and the identity many accidental managers build around being needed everywhere. In this episode, Jewels explains why the most visible need is not always the manager’s need t...
When Your Team Finally Starts Solving Problems Without You 10.08.2026 14:19
For years, Jewels’s infusion nurses administered medications using gravity tubing. Then a pharmaceutical change required an unfamiliar infusion pump — without adequate training arriving alongside it. One nurse took ownership. She contacted the manufacturer, worked with the distributor, found training resources, troubleshot the equipment, and persisted until the new process became part of the clini...
The Space I Never Walked Into 03.08.2026 9:07
What happens when an important clinic decision has to be made in a room you have never seen? When the lease for our outer-island clinic was ending, two nurses and our physician assistant inspected a possible new suite without me. In the past, I would have flown over, opened every cabinet, checked the refrigerator, measured the storage, and made sure nothing was missed. This time, I stayed in Honol...
When Grace Becomes Avoidance 27.07.2026 1:55
You keep giving one more chance because you don't want to be the bad guy. But somewhere between grace and avoidance, your team starts paying the price for your hesitation. This week Jewels tells the story of a difficult relationship that tested every boundary in her clinic — and the two-door conversation that changed how she leads for good.
How to Stop Doing Everything as a Clinic Manager 21.07.2026 24:48
Does your clinic team wait for you to answer every question, solve every problem, and keep every recurring task moving? In this Season 3 finale, Jewels shares how three nurses quietly took ownership of work she had carried for years, including the Honolulu nursing rotation and the Hilo and Kauai travel schedule. Through these lived clinic stories, Jewels explores why capable employees sometimes co...
Do You Still Want Me to Go? 13.07.2026 14:49
What happens when something goes wrong on a day you cannot be there to fix it? In this episode, Jewels shares a COVID-era clinic story from one of her team’s inter-island infusion trips to Kauai, when a nurse was stuck at the Honolulu airport for three hours because her travel QR code would not clear. The patients were already scheduled, the medication was already on island, and the other nurse ha...
Perfect Was Never the Job 06.07.2026 11:43
Every clinic manager dreads the moment before they know if it's a disaster. That pocket of silence where your stomach drops and your face is doing its best impression of calm while everything underneath is absolutely not. In this episode, Jewels shares the moment an expensive mistake almost reached a patient — and what cracked open inside her in the sixty seconds after her team member told her...
Why Can't I Trust Anyone to Do This as Well as Me? 29.06.2026 13:51
You've been the one holding it all together for so long, letting go doesn't feel like leadership — it feels like losing control. This week on The Unbreakable Woman's Journey, Jewels tells the story of the one task she refused to hand off for twenty-five years — and what happened the very first time she did. Spoiler: $1,435.01 went missing, and it taught her more about trust than two de...
Why Can't My Employees Just Figure It Out Themselves? 22.06.2026 12:28
Every supply order in my clinic used to come through me — IV tubing, syringes, even the pens. I genuinely thought that was just what being a good manager looked like. Then one day an invoice showed up on my desk that I never approved, and that single moment taught me something I wish someone had told me twenty years ago: when your team keeps checking with you before they act, that's not respec...
If You Want It Done Right, Do It Yourself 15.06.2026 17:08
You are the most capable person in the room — and somehow that became the problem. In this episode of The Unbreakable Woman's Journey , Jewels breaks down the Hero Trap: the exhausting place where you are tired of being needed but if you are honest, being needed is also what makes you feel valuable. If your team brings every question, every problem, and every decision straight to you — this episod...
The Day I Couldn't Take One Afternoon Off 08.06.2026 22:35
I took one afternoon off to eat pineapple ice cream with my mom. Then my phone rang — and a nurse threatened to punch a coworker in the throat. That call taught me the difference between being essential and being trapped. If your team can't get through a single shift without you, this one's for you. Season 3 starts here.
You're Not Just Surviving Anymore 01.06.2026 21:02
I used to think being a great leader meant being needed for everything. Every problem climbed up to me — and I carried it like that was the job. Then one ordinary morning, a nurse handled a crisis before I even knew it happened, and told me she did it so I wouldn't "have palpitations early in the morning." 😅 That was the moment it hit me: leadership wasn't living only inside me...
The Lonely Side of Leadership Nobody Talks About 25.05.2026 18:33
Nobody warned me that leadership could feel lonely sometimes. Not because people stopped surrounding me… but because leadership quietly asks ordinary people to carry extraordinary assignments before they fully understand their importance. In this episode, I share the story of driving from clinic to clinic across Hawaii gathering physician signatures for biologic treatment approval before it became...
The Shift Nobody Warned You About: How New Clinic Managers Find Their Authority Spotify description 18.05.2026 14:43
Nobody hands you a certificate the day you become a real leader. For new and accidental clinic managers, the shift from permission-seeker to confident decision-maker happens quietly — in ordinary moments, in small choices, in the way you start carrying yourself differently inside your clinic. In this episode, Jewels shares the honest story of how she stopped apologizing for every decision, stopped...
I Fell Apart in My Doctor's Office. Then I Went Back Out and Led My Team. 10.05.2026 19:55
There was a morning I walked into my boss's office in the middle of a full clinic meltdown, looked him dead in the eyes, and fell completely apart. Tears. Snot. The whole undignified thing. What he did next changed how I lead forever. If you are a new or accidental clinic manager running on adrenaline and guilt, this episode will give you permission to stop — and a four-question tool to help y...
The Day I Realized Busy Wasn't the Same as Done 04.05.2026 15:07
You were there all day. You didn't stop moving. And somehow, by the time you got to your car, almost nothing on your list was actually finished. If that sounds familiar, this episode is for you. In Season 2, Episode 3 of The Unbreakable Woman's Journey, I'm taking you back to a real day in our clinic — month-end chaos, a machine down, the EMR acting up, and five things pulling at me at...
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