I think the consulting jobs might be down for some firms, because they're just too many out there! Unless the agency is on the mark, and working hard to find good talent, they are going to be pushed to the side. Not to mention all they can see is $$,and not doing the work, that makes for success! There are too many startups with no idea of what the applications, healthcare, are about, with inexperience recruiterswho have no clue either.
This is the same thing that happened to nursing agencies. Everyone one who had a few dollars jumped in the water without having a clue!
I have had some of the most dishonest folks contact me, saw the bait and switch, and just out and out lies utilized by recruiters. One recruiter even expected me to lie to a client so they could get a contract! NO WAY!
To get a job today as a consutant, you need to be able to interview well, and if you have any healthcare experience, you will be overrun with offers! Not saying they will all be great offers, but there is NO shortage of IS/EMR application/implementation/trainer/testing jobs out there, just a shortage of agencies you can trust! Probably why more and more consultants are going the independent route, which is the very same thing that happend with Travel Nursing!
"The more things change, the more they stay the same"!