This is usually the case. Most of the recruiters in our Directory work in their local area, most work all around the US and some internationally. Regardless of your geographic preference, you should still send your resume to all the recruiters. If you really only want to remain in your area, you can specify that preference in your cover letter. Do keep in mind, however, that by stating your geographic preference, you may be eliminating yourself from the running for a dream job somewhere else.
Recruiters primarily work with hard to fill positions or executive positions.
Some recruiters specialize in managed care executive positions, healthcare financial positions or health administration positions. Others may specialize in finding doctors, nurses or physical therapists. Generally, an employer does not engage a recruiter's assistance in filling a position unless it is hard to fill. Sometimes employers will engage search firms to save them the valuable time of advertising or combing through dozens of resumes. Contingency recruiters tend to work with more mid-level management and professional positions, but, this is not always the case.