What I have found, as I live in an oversaturated area, is that contacts are what gets you in... Who you know. Doesn't even depend on how much experience you have as a nurse and you don't even need to be that smart it all depends on WHO YOU KNOW. So, the best thing is to network and not blindly apply for positions. Its what I did and that took me nowhere and I was incredibly frustrated. Talk to NPs in practice in your area, go to local NP meetings. Prepare to travel for your job, or relocate. Try locums.