I would avoid recruiters like the plague if I were you. Head-hunters get up to $30,000 for recruiting a physician for a hospital. The ER group or hospital would much rather give a portion of that money to you and save themselves that bill.
You can actually DECREASE your chance at getting a job by talking to a recruiter, because if they present you to the ER director, then the director is obligated to pay them. You may be less likely to be hired if the Director has 2 applicants and has to pay a $30,000 fee just to get you, and the other person is "free".
Some hospitals have an individual who is THE physician recruiter for the hospital, and help the ER group as well. Some ER groups have contracts with recruiter firms, and some ER groups don't use recruiters at all. Some advertise in throw-away magazines.
Sometimes, you contact an individual director, who then directs you to a recruiter firm to set up an interview.
1. Look at an area where you want to work and contact the individual hospitals in that area. Ask for the physician recruiter or human resources and they should know the appropriate person to contact to see if there are jobs, whether that is the ED director themself or another individual.
2. You can get quite the run around trying to go through a big hospital's human resource person, as they often don't know who the ER director. You can bypass this by using ACEP's website-
http://www.acep.org/ACEPmembership.aspx?id=43238
The problem with the ACEP website is that it doesn't say where individual groups staff, so you have to contact the head of the group and find out from them.