The market is very tight here (as everywhere!). My only advice is to be open to options, and not have the mindset "I'll ONLY to L&D in an urban hosptial" (not saying this is you!). Don't blow off nursing homes or home health, sometimes its the only thing out there. Are you close to a bordering state? Keep those in mind if they're part of the compact act--I know Iowa IS, Illinois ISN'T.
Best of luck