You should have a separate pull key to start the pally off before the DPS. If you aren't very high level yet, just put a macro for judgement and consecrate on it. After you lay that down, you should be able to switch to the normal spam key.
No, you have to manually heal. Get a mod like MSBT or something that will announce when ES expires, or DBM's Spelltimers to track Riptides. There's macros in the Wiki for setting up a rotation for Riptide healing. Other than that, try reading. There's tons of threads on how to manage healing with a shaman.
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