I am not actively looking for a new job, but I always keep my eye on the market to stay honest.
Anyway, it appears the market might have opened up a bit [compared to a couple of years ago when regions were very hit-or-miss with openings]. If you keep your search efforts frequent, there are often postings on each coast (and everywhere in-between).
If you are coming from a smaller community hospital, good news -- you will have a shot. Apply with a thoughtful application and you'll be considered. We are not a field that drools for pedigree.