The market is challenging no doubt. Keeping yourself open to relocation is a positive as many people are not. There may be opportunities in smaller communities which could be worth considering as well.
As far as the entry position, check
out the article on the ACHE website under Career Services titled "Your
Career as a Healthcare Executive" for some additional ideas. Feature any management related skills in your resume. If you don't
have direct supervisory experience, start to think about experiences you now
have or had in the past, where you led a project or team, as well as situations
(on the job or off) where you displayed leadership qualities.
You will need to network aggressively where and when you can. Check the ACHE website and under Career Services, you will find the Career Management Network (Members Only). You can access other ACHE members for networking. Also, connect with your local ACHE Chapter to explore available resources. Mike Broscio - ACHE Career