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Hospital management roles are still needed, but the job market and hiring processes have changed a lot. You should keep updating your resume to highlight your leadership impact and also try networking in your healthcare circles.
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Most resumes these days are screened through Applicant Tracking Systems.
It's at least two of those things. Fake jobs are a lot more common than they used to be, though more often with entry-level jobs. Healthcare hasn't been hit as hard by the bad job market as most other industries, but there are still fewer opportunities than there used to be. Do you know anyone who could give you a direct referral at their hospital?
The hospital manager market feels tougher right now, especially with budgets tightening and layers of management shrinking. It might not be you at all, it might just be a really slow and crowded market.