Help/Harm macro for healers?

Current setup:

Q = Healing Wave
E = Rip Tide
R = Healing Surge
F = Primordial Wave

Shift Q = Chain Lightening
Shift E = Flame Shock
Shift R = Lava Burst
Shift F = Thunder Storm

Total buttons used = 9.

This current set up is really hard on my hands because I have to constantly use the shift key to alternate between my home row of Q, E, R, and F. Pressing shift switches them to the attack spells.

Is there a macro I can use that would automatically detect whether an enemy was targeted and use an attack (While prioritizing mouseovers over direct targeting)?

I would like it so that I just have to use four buttons without the use of the shift modifier key. If an enemy was targeted, when I hit Q (Healing Surge) it would cast Chain Lighteing instead.

Thank you for all the help!

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